Molina Utilization Management Department
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The Molina Healthcare Utilization Management Department handles referrals and prior authorization requests, conducts concurrent review on inpatient cases, and coordinates care for members under the case management program, including California Children's Services (CCS).
Outpatient and urgent referral requests: 1-800-526-8196, option3, then option 4
Inpatient referral requests: 1-800-526-8196, option3, then option 4
CCS referral requests: 1-888-562-5442, ext. 126586
Case management referral requests: 1-800-526-8196, ext. 127604
Outpatient and prior authorization requests: Fax: 1-800-811-4804
Notification of inpatient admissions: Fax: 1-866-553-9262
Notification of concurrent review: Fax: 1-866-553-9263