Your Medi-Cal grievances and appeals in California

Learn what they are, how to file and where to get help.

Grievances

If you have a problem or concern with your medical care or our services, you have the right to file a complaint. At Molina, we refer to a complaint as a grievance. Some examples of grievances are:

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

Appeals

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

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

How to file a grievance or appeal:

You can file a grievance or appeal by:

• Phone. Call Member Services at (888) 665-4621 (TDD/TTY: 711) Monday through Friday 7 am - 7 pm local time.
• Mail. Fill out a grievance or appeals form and mail it to:

Molina Healthcare

Attn: Appeals and Grievances Department

200 Oceangate, Suite 100,

Long Beach, CA 90802

• Fax. Fill out a grievance or appeals form and fax it to (562) 499-0757
• My Molina Member Portal. Log in to MyMolina

If you want a family member or your doctor to file the grievance or appeal for you, we need your written permission.

For more information, read your Member Handbook.

Read your Member Handbook It explains covered services, programs, rewards and how to use your benefits. Keep it handy for when you need care.