Appeals and grievances in Florida

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 may include: 

• The quality of 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 

An appeal can be filed 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 Molina Member Services <Link> (888) 560-5716 (TTY: 711), Monday through Friday, 8 a.m. – 6 p.m. local time. We will try to help you over the phone. 
• Fill out the Member Grievance Form [LINK] and mail it to: Molina Healthcare of Florida, Inc., Attn: Appeal and Grievance Unit
• PO Box 36030
• Louisville, KY 40233-6030
• Or 
• Fax: (877) 508-5748
• Log in to the My Molina member portal

We will send you a letter acknowledging that we got your appeal or grievance within 5 business days and issue a formal response within 30 calendar days.

You can also call the Florida Department of Financial Services Division of Consumer Services at (877) 693-5236 or (800) 640-0886 (TTD line) for help at any time.

For more information, check your member handbook or your agreement and evidence of coverage. 

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