Your Medicaid grievances and appeals in New Mexico

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

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 in the following ways:

• Phone: Call Member Services at (844) 862-4543 (TTY: 711), Monday–Friday, 8:00 a.m.–5:00 p.m. local time.
• Mail: Complete a grievance or appeals form and mail it to:
  Molina Healthcare
  Attn: Appeals and Grievances Department
  PO Box 182273
  Chattanooga, TN 37422
• Fax: Complete a grievance or appeals form and fax it to (505) 342-0583.
• Molina Member Portal: Log in to the Molina Member Portal to submit online.

If you want a family member or your doctor to file the grievance or appeal on your behalf, we require your written permission.

For more information, visit our Grievances and Appeals resource page.

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
• Drug coverage