Your Medicaid grievances and appeals in Ohio

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. You can file a grievance if you have a problem with:

• 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
• The transportation services you get
• Other care or services covered by Molina

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 (800) 642-4168 (TTY: 711) Monday – Friday 7 a.m. to 8 p.m. Eastern Time.  
• Mail. Fill out a grievance or appeal form and mail it to:
  Molina Healthcare of Ohio, Inc.
  Attn: Grievance and Appeals Unit
  P.O. Box 182273
  Chattanooga, TN 37422

• Fax. Fill out a grievance or appeal form and fax it to (866) 713-1891.
• 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, check your Member Handbook.

You may have to pay for services that are not covered. You may also have to pay for services from providers not part of our network. If the services were an emergency, you don’t have to pay. If you need help, call Member Services.