Appeals and grievances in California

As a Molina Healthcare member, you have the right to file a complaint (grievance) if you have a problem with your medical care or our services. Examples of problems include:

• The care you get from your provider
• The time it takes to get an appointment or see a provider
• The providers you can choose for care

You may file an appeal when you do not agree with our decision to:

• Stop, change, suspend, reduce, or deny a service
• Deny payment for services provided

To file an appeal or grievance, you can: 

• Call Member Services at (888) 858-2150 (TTY: 711), Monday through Friday, 8 a.m. to 6 p.m. local time. We will try to help you over the phone.
• Fill out the Member Grievance Form and mail it to:
  Molina Healthcare, Attn: Grievance and Appeals Unit
  200 Oceangate, Suite 100
  Long Beach, CA 90802
• Fax the completed Member Grievance Form to (562) 499-0757.
• Log in to the My Molina Member Portal

We will send you a letter acknowledging receipt of your appeal or grievance within five calendar days and issue a formal response within 30 calendar days.

You can also call the California Department of Managed Health Care (DMHC) at (888) 466-2219 or (877) 688-9891 (TTD line) for help at any time.

For more information, check your Member Handbook or your agreement and Evidence of Coverage.