Your Medicare appeals and grievances in Idaho
Are you having problems with your health care or our services? Here’s how you can complain or appeal a decision.
Appeals and grievances
If you are unhappy with your care, you can complain about:
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 also file an appeal if you don’t agree with a Molina decision to:
Stop, change, suspend, reduce or deny a service
Deny payment for services provided
Filing a Grievance with Molina Healthcare
If you have a complaint, please call Member Services at (844) 239-4913 first. We will try to resolve your problem over the phone. We can even send you a written response if you ask for one.
If we can’t correct your problem over the phone, you can use our formal Member Grievance Process. You must file a grievance within 60 days of the start of your issue.
You can file a grievance either by phone or in writing.
Call Member Services at (844) 239-4913 TTY:711
Fill out the Member Grievance Form and fax your complaint to (562) 499-0610
Fill out the Member Grievance Form and mail it to:
Molina Healthcare, Attn:
Appeals & Grievances
P.O. Box 22816
Long Beach, CA 90801-9977
Log in to the Molina Member Portal to file your grievance electronically
We will respond to all quality of care grievances in writing, regardless of how the grievance was filed.
For more information, see Chapter 9 of your EOC.
You can also submit a complaint through Medicare.