Your Medicaid grievances and appeals in Wisconsin

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 (or your representative) can file a grievance or appeal by:

• Phone. Call Member Services at (888) 999-2404 (TTY: 711) Monday through Friday 8 a.m. to 5 p.m. local time.
• Mail. Fill out a grievance or appeals form  and mail it to:
  
  Molina Healthcare of Wisconsin
  Attn: Member Appeals and Grievances
  P.O. Box 182273
  Chattanooga, TN 37422
• Fax. Fill out a grievance or appeals form  and fax it to (844) 251-1445.
• 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.

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