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Get OH Molina Healthcare MHO-0709 2011-2024

Ices not on this list and performed by a participating provider DO NOT require prior authorization. For your convenience, a list of procedure codes that require prior authorization can be found at www.MolinaHealthcare.com. Select Ohio, Providers, Forms. To request a hardcopy of this list, call 1-800-642-4168. Services Requiring Prior Authorization Ambulatory surgical services All Non-Grouper Surgical Codes Cosmetic/plastic procedures Dermatologic proc.

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