Illinois’ Molina Rolls Out a New Prior Authorization Verification Tool
doctor using computer

Molina Healthcare of Illinois, one of several organizations that serve Illinois’ Medicaid patients, is introducing a new tool that will help health professionals by streamlining the process of verifying prior authorization requirements for HCPCS/CPT codes.

The Molina PA Lookup Tool, which will be live Nov. 2, 2020, is designed to help health professionals determine prior authorization requirements, including whether a code: 

  • Requires prior authorization and under what circumstances

  • Does not require a prior authorization

  • Is not a covered benefit

  • Is delegated to eviCore, Molina’s partner for diagnostic imaging review requests

To access the tool, log in to the Molina Provider Portal after November 2 and locate the “Provider Page.” 

If you have questions, contact your Provider Network Manager or send an email to the Provider Network Management team. 

You may also contact the ISMS Health Policy Research and Advocacy team with your questions by email. 

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