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Related content

Texas Standard Prior Authorization Request Form...
Texas Standard Prior Authorization. Request Form for Health Care Services. NOFR001 | 0415...
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PROVIDER CONNECTION - University of Utah Health...
by A POLICY · 2016 — The website will also contain the prior authorization forms. A...
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Molina Healthcare of Texas is a managed care organization that arranges for the delivery of health care services to low-income families and individuals who are eligible for STAR, STAR+PLUS, CHIP and Medicare in the state of Texas.

If you have questions or concerns, please contact the Provider Network Management team at (855) 866-5462.

To be eligible for the PHC program, Texas residents must be 21+ years old and require assistance to perform at least one of the activities of daily living, such as bathing, grooming, eating, or toileting. Their functional limitation must result from a medical condition and must be documented by a medical professional.

Call Molina Member Services, toll free (866) 449-6849 or TTY: (800) 735-2989 (English)/(800) 662-4954 (Spanish).

If you have any questions, or if you are not currently a Molina provider, but are interested in contracting with us, please call Molina Texas Provider Services at (855) 322-4080.

Molina Healthcare of Texas is a managed care organization that arranges for the delivery of health care services to low-income families and individuals who are eligible for STAR, STAR+PLUS, CHIP and Medicare in the state of Texas.

Except for emergency services, post-stabilization services, and services provided to you during an approved inpatient admission, all services from an out-of-network provider must be prior authorized. Claims for services from out-of-network providers that are not approved before the service is given may be denied.

Explore your Molina Healthcare of Texas Medicaid Program The quality health plan you can afford. Learn more about your health plan, what's covered and the many programs we offer.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232