Molina Clinical Policy

Behavioral Health Behavioral Health

DME DME

Genetic Testing Genetic Testing

Genetic Testing

Medical Medical

Payment & Reimbursement Payment & Reimbursement

For Payment and Reimbursement policies, click on the applicable State link below.
Links to additional States will be posted as they become available.

California
Florida
Illinois
Michigan
South Carolina
Utah
Washington
Wisconsin

Pharmacy Pharmacy

For Marketplace, please refer to Marketplace Pharmacy Policies located here. Select your State at the top right of the page.
For Medicaid policies, please review your State specific webpage via the MolinaHealthCare.com main page – select your State at the top of the page. For further questions, please contact Member Services.
For Medicare policies, please review your State specific webpage via the MolinaHealthCare.com main page – select your State at the top of the page.

Radiology Radiology

Surgery Surgery

Transplant Transplant

Utilization Management Utilization Management

State Specific Sites

This page lists Corporate Molina Clinical Policies (MCPs). Please check your State’s website for policies that contain State-specific language or requirements in addition to what is listed in the Corporate policy. Applicable information is listed in the Appendix at the end of policies.