Member grievances and appeals

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
• Billing issues

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) 869-7165 (TTY:711) Monday to Friday 7:30 a.m. to 6:30 p.m. local time. 
• Mail. Fill out a grievance or appeals form and mail it to:

Molina Healthcare
Attn: Member Appeals
PO Box 4004
Bothell, WA 98041-4004

• Email. Send your complaint to: WAMemberServices@MolinaHealthcare.com
• Online. Log in to the My Molina Member Portal 

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

For more information, check 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.