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Preheat oven to 350°F and grease a 9x13 baking dish.
Cook pasta according to package directions, drain, and set aside.
In a large bowl, whisk together cream of chicken soup, sour cream (or cream cheese), milk, ranch seasoning, garlic powder, onion powder, paprika, salt, and pepper.
Stir in the cooked pasta, chicken, half the cheddar, and half the bacon.
Pour the mixture into the baking dish and spread evenly.
Top with remaining cheddar, mozzarella (if using), and bacon.
Bake 20–25 minutes, until hot, bubbly, and golden.
Garnish with green onions or parsley and serve warm.