New Molina PAN Form

Molina Healthcare has began using the Texas Standardized Form.  A representative from Molina says they will accept both the previous Molina form and the Texas Standardized form; however, only the Texas Standardized form will be available online and is pre-filled with Molina’s contact information.  The new form has been added to this website for immediate use.

Click here for the Molina Standardized Form

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