Appeals and grievances in Wisconsin

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) 560-2043 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 of Wisconsin, Inc., Attn: Member Appeals and Grievances, PO Box 182273, Chattanooga, TN 37422. You can also fax it to (844) 251-1445 or email it to WIMemberAppeals@molinahealthcare.com.
• Log in to the My Molina Member Portal

We will send you a letter acknowledging receipt of your appeal or grievance within 10 business days and issue a formal response within 30 calendar days.

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

Read your Member Handbook

Your handbook explains covered services, programs, virtual care, rewards and how to use your benefits. Keep it handy when you need care.

Explore the member handbook