Need a Prior Authorization?
Welcome, Illinois Health Care Providers
Contracted providers are an essential part of delivering quality care to our members. We at Molina Healthcare value our provider partnerships and support the doctor-patient relationship our members share with you.
Superior customer service and provider relations are one of our highest priorities. We welcome your feedback and look forward to assisting all your efforts to provide quality care.
If you have questions or concerns, please contact the Provider Network Management team at (855) 866-5462.
P2P Scheduling Tool (Medicaid)
Need a Peer-To-Peer (P2P) review for your Molina Medicaid patient? Put in a request with our convenient new scheduling tool. CLICK HERE.
(Currently for Medicaid medical requests only.)
Become a Molina Provider
Would you like to become a Molina Medicaid provider? Visit our page called Join Our Network for step-by-step instructions.
Provider Education Series
Molina Healthcare of Illinois hosts provider training sessions throughout the year. Our webinars are free and open to all network providers and their medical and office staff.
Registration is quick and easy! Click here to view and register for upcoming sessions.
Automated Critical Updates! We know you’re busy. Sign up to receive provider news delivered to your inbox. Click to get started:
What's New?
Illinois Provider Feedback Survey!
HFS Provider Revalidation Town Halls
Rate/Fee Schedule Updates: April 2025
Register for April Provider Webinars
MCG 29th Edition Scheduled to Go Live April 29, 2025
Medicaid Formulary PDL Change: Humira Biosimilars
Addition of Lymphir to PA Code List
Medicaid Formulary PDL Changes, Q1 2025
Molina Member Identification Toolkit
Monthly Roster Submission for Data Accuracy
Updates to Molina Clinical Policies, February 2025
Evolent (New Century Health) Clinical Policy Updates
Medicaid Formulary Change: Blood Glucose Monitors and Supplies
Frequently Used Forms
- 2025 Q2 Prior Auth Codification- 2025 Q2 Prior Auth - Discontinued
- 2025 Q1 Prior Auth Codification
- 2025 Q1 Prior Auth - Discontinued
- 2024 Q4 Prior Auth Codification
- 2024 Q4 Prior Auth - Discontinued
- Q3 Prior Auth Codification - 2024
- Q2 Prior Auth Codification - 2024
- Q1 Prior Auth Codification - 2024
- Q4 Prior Auth Codification - 2023
- Provider Manual (Medicaid| MMP)
- Drug Formulary (Medicaid| MMP)
- Illinois Service Area - Hospital
- Illinois Service Area - Ancillary
- Illinois Service Area - FQHC
- Illinois Service Area - Contracting
- Illinois Service Area - Quality
Find more frequently used forms here.