Your Medicaid grievances and appeals in Nebraska

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 select for care
• You believe our notices and other written materials are hard to understand

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

You can file a grievance or appeal by:

• Phone. Call Member Services at (844) 862-4543 (TTY: 711), Monday-Friday, 8 a.m.to 6 p.m. CT.

• Mail. Fill out a grievance or appeals form and mail it to:

Molina Healthcare of Nebraska, Inc.
Appeals & Grievances
P.O. Box 182273
Chattanooga, TN 37422

• Fax. Fill out a Member Appeal/Grievance Form and fax it to (833) 635-2044

• Online. Go to the Member Portal at MyMolina.com.

Be sure to include the following information:

• Member’s first and last name
• Member’s address and telephone number
• Member ID number (on the front of the Molina member ID card)
• Description of the issue

If you want a family member or your doctor to file the grievance or appeal for you, we need your written permission. Go here to get the Appointment of Representative (AOR) form you need to complete.

If you need help filing a grievance or an appeal, call Member Services at (844) 782-2018 (TTY: 711) Monday through Friday, 8 a.m. to 6 p.m.CT.

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
• Benefits and services
• Prescription coverage