Appeals and grievances in Ohio

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. Some examples are: 

• 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 

  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 Healthcare at (888) 296-7677 (TTY: 711), Monday through Friday, 8:00 a.m. to 6:00 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 of Ohio, Inc.
  Attn: Appeals and Grievance Department
  P.O. Box 349020
  Columbus, Ohio 43234-9020
  
  You can also fax it to (866) 713-1891
  
  
• Log in to the My Molina member portal.

We will send you a letter acknowledging receipt of your appeal or grievance within 5 calendar days and issue a formal response within 30 calendar days.

You can also call the Ohio Department of Insurance Consumer Affairs at (800) 686-1526 or (614) 644-3745 (TTD line) for help at any time.

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