Select State
line top nav icon pharmacy Find a Pharmacy line top Nav icon provider Find a Provider line top nav icon Hospital Find a Hospital line top nav icon login Login line top nav Home Home line top nav

Button About Molina
Button Members
Button Providers
  Molina Healthcare Home   Logo line    Logo Your Extended Familys
Font size 11 Font size 12 Font Size 13 Font Size 14
 
 
 
Spanish Language 
English Language 
handbooks
health & wellness
quality
HIPAA
drug formulary
services
contact us

How to File a Medicaid Fair Hearing

You have the right to ask for a Medicaid Fair Hearing. You can do this at anytime during the appeal. Someone can call for you. It can be someone you say can act for you. It can also be a Provider acting for you. You must write a note that gives permission. Call us toll-free at 1-866-449-6849 (TTY (English) 1-800-735-2989, (Spanish) 1-800-662-4954), to tell us about your problem. A Molina Member Service Advocate can help you file a fair hearing; just call 713-418-1999, Extension 204016 if you are in the Houston area or 210-366-6500, Extension 203011 if you are in the San Antonio area.

You must request this hearing in 90 days or less. This is from the date you first got the initial decision. Someone can call for you. You can have someone act for you. A Provider can act for you. You must write a note that gives permission.

This is what happens when you ask for a Medicaid Fair Hearing:

  • You get a letter from the hearing officer. The letter will tell you the date and time of the hearing. The letter tells you how to get ready for the hearing.
  • The hearing can be held by telephone. You can explain why you asked for this service. You can ask the hearing officer to look at the case and make a decision.
  • The Fair Hearing Officer will give you a final decision. This happens in 90 days or less from the date you asked for the hearing.