Your Medicaid grievances and appeals in Illinois

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 (844) 644-6354 (TTY/TDD: 711) Monday through Friday 8 a.m. to 6 p.m. CT
• Mail. Fill out a grievance or appeals form and mail it to:
  
  Molina Healthcare of Illinois
  Attn: Member Appeals & Grievances
  PO Box 182273
  Chattanooga, TN 37422
  Phone: (844) 644-6354
  
  
• Fax. Fill out a grievance or appeals form and fax it to (855) 502-5128
• Molina Member Portal. Log in to the Molina Member Portal

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, visit our grievances and appeals resource page or check your Member Handbook

Plan features

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

Helpful resources

• Molina member portal
• Medicaid benefits and services
• MLTSS benefits and services
• Drug coverage