Appeals and grievances in Utah
Did you experience a problem with your quality of care or get a decision you don’t agree with? Learn about appeals and grievances, how to file and where to get help.
Read your Member Handbook
Your handbook explains covered services, programs, rewards and how to use your benefits. Keep it handy when you need care.
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) 858-3973 (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 Utah, Inc., Attn: Complaints and Appeals Coordinator, PO Box 182273, Chattanooga, TN 37422.
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.
For help from the Utah Insurance Commissioner, call (801) 957-9280, email healthappeals.uid@utah.gov or write to 4315 S. 2700 W, Suite 2300, Taylorsville, UT 84129.
For more information, check your member handbook or your agreement and evidence of coverage.