NOTICE OF PRIVACY PRACTICES Molina Healthcare of Massachusetts, Inc.
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
Molina Healthcare of Massachusetts (“Molina Healthcare”, “Molina”, “we” or “our”) uses and shares protected health information about you to provide your health benefits as a Molina Medicare member. We use and share your information to carry out treatment, payment and health care operations. We also use and share your information for other reasons as allowed and required by law. We have the duty to keep your health information private and to follow the terms of this Notice. The effective date of this Notice is January 1, 2026.
PHI means protected health information. PHI is health information that includes your name, member number or other identifiers, and is used or shared by Molina. PHI includes health information about substance use disorders and biometric information (like a voiceprint).
We use or share your PHI to provide you with health care benefits. Your PHI is used or shared for treatment, payment, and health care operations.
For Treatment
Molina may use or share your PHI to give you, or arrange for, your medical care. This treatment also includes referrals between your doctors or other health care providers. For example, we may share information about your health condition with a specialist. This helps the specialist talk about your treatment with your doctor.
For Payment
Molina may use or share PHI to make decisions on payment. This may include claims, approvals for treatment, and decisions about medical need. Your name, your condition, your treatment, and supplies given may be written on the bill. For example, we may let a doctor know that you have our benefits. We would also tell the doctor the amount of the bill that we would pay.
For Health Care Operations
Molina may use or share PHI about you to run our health plan. For example, we may use information from your claim to let you know about a health program that could help you. We may also use or share your PHI to solve member concerns. Your PHI may also be used to see that claims are paid right.
Health care operations involve many daily business needs. It includes but is not limited to the following:
We will share your PHI with other companies (“business associates”) that perform different kinds of activities for our health plan. We may also use your PHI to give you reminders about your appointments. We may use your PHI to give you information about other treatment, or other health-related benefits and services.
In addition to treatment, payment and health care operations, the law allows or requires Molina to use and share your PHI for several other purposes, including the following:
Required by law
We will use or share information about you as required by law. We will share your PHI when required by the Secretary of the Department of Health and Human Services (HHS). This may be for a court case, other legal review, or when required for law enforcement purposes.
Public Health
Your PHI may be used or shared for public health activities. This may include helping public health agencies to prevent or control disease.
Health Care Oversight
Your PHI may be used or shared with government agencies. They may need your PHI for audits.
Research
Your PHI may be used or shared for research in certain cases, such as when approved by a privacy or institutional review board.
Legal or Administrative Proceedings
Your PHI may be used or shared for legal proceedings, such as in response to a court order.
Law Enforcement
Your PHI may be used or shared with police for law enforcement purposes, such as to help find a suspect, witness or missing person.
Health and Safety
PHI may be shared to prevent a serious threat to public health or safety.
Government Functions
Your PHI may be shared with the government for special functions, such as national security activities.
Victims of Abuse, Neglect or Domestic Violence.
Your PHI may be shared with legal authorities if we believe that a person is a victim of abuse or neglect.
Workers Compensation
Your PHI may be used or shared to obey Workers Compensation laws.
Other Disclosures
PHI may be shared with funeral directors or coroners to help them to do their jobs.
Additional Restrictions on Use and Disclosure.
Some federal and state laws may require special privacy protections that restrict the use and disclosure of certain types of health information. Such laws may protect the following types of information: alcohol and substance use disorders, biometric information, child or adult abuse or neglect including sexual assault, communicable diseases, genetic information, HIV/AIDS, mental health, minors' information, prescriptions, reproductive health, and sexually transmitted diseases. We will follow the more stringent law, where it applies to us.
Substance Use Disorder (SUD) Information.
Although Molina Healthcare is not a substance use disorder treatment program under federal law (a “SUD Program”), we may receive information from a SUD Program about you. We may not disclose SUD information for use in a civil, criminal, administrative, or legislative proceeding against you unless (i) we have your written consent, or (ii) a court order accompanied by a subpoena or other legal requirement compelling disclosure issued after we and you were given notice and an opportunity to be heard.
Molina needs your written approval to use or share your PHI for a purpose other than those listed in this Notice. Molina needs your authorization before we disclose your PHI for the following: (1) most uses and disclosures of psychotherapy notes; (2) uses and disclosures for marketing purposes; and (3) uses and disclosures that involve the sale of PHI. You may cancel a written approval that you have given us. Your cancellation will not apply to actions already taken by us because of the approval you already gave to us.
You have the right to:
You may ask us not to share your PHI to carry out treatment, payment or health care operations. You may also ask us to not to share your PHI with family, friends or other persons you name who are involved in your health care. However, we are not required to agree to your request. You will need to make your request in writing. You may use Molina’s form to make your request.
You may ask Molina to give you your PHI in a certain way or at a certain place to help keep your PHI private. We will follow reasonable requests, if you tell us how sharing all or a part of that PHI could put your life at risk. You will need to make your request in writing. You may use Molina’s form to make your request.
You have a right to review and get a copy of your PHI held by us. This may include records used in making coverage, claims and other decisions as a Molina member. You will need to make your request in writing. You may use Molina’s form to make your request. We may charge you a reasonable fee for copying and mailing the records. In certain cases, we may deny the request. Important Note: We do not have complete copies of your medical records. If you want to look at, get a copy of, or change your medical records, please contact your doctor or clinic.
You may ask that we amend (change) your PHI. This involves only those records kept by us about you as a member. You will need to make your request in writing. You may use Molina’s form to make your request. You may file a letter disagreeing with us if we deny the request.
You may ask that we give you a list of certain parties that we shared your PHI with during the six years prior to the date of your request. The list will not include PHI shared as follows:
We will charge a reasonable fee for each list if you ask for this list more than once in a 12-month period. You will need to make your request in writing. You may use Molina’s form to request.
You may make any of the requests listed above, or may get a paper copy of this Notice. Please call Molina Member Services at (800) 665-0898, 7 days a week, 8 a.m. to 8 p.m. local time. TTY/ TDD users, please call 711.
What can you do if your rights have not been protected?
You may complain to Molina and to the Department of Health and Human Services if you believe your privacy rights have been violated. We will not do anything against you for filing a complaint. Your care and benefits will not change in any way.
You may complain to us at the following:
By Phone:
Call Molina Member Services at the toll-free phone number on your Molina ID card, 7 days a week, 8 a.m. to 8 p.m. local time. TTY/TDD users, please call 711.
In Writing:
Molina Healthcare
Attention: Medicare Appeals and Grievances
P.O. Box 22816
Long Beach, CA 90801
You may file a complaint with the Secretary of the U.S. Department of Health and Human Services at:
U.S. Department of Health & Human Services
Office for Civil Rights
200 Independence Ave., S.W.
Suite 509F, HHH Building
Washington, D.C. 20201
(800) 368-1019; (800) 537-7697 (TDD); (202) 619-3818 (FAX)
Molina is required to:
This Notice is Subject to Change
We reserve the right to change its information practices and terms of this Notice at any time. If we do, the new terms and practices will then apply to all PHI we keep. If we make any material changes, we will post the revised Notice on our website and send the revised Notice, or information about the material change and how to obtain the revised Notice, in our next annual mailing to our members then covered by us. This Notice is available on our website at www.molinahealthcare.com.
If you have any questions, please contact the following office:
By Phone:
Call Molina Member Services at the toll-free phone number on your Molina ID card, 7 days a week, 8 a.m. to 8 p.m. local time. TTY/TDD users, please call 711.
You can get this document for free in other formats, such as large print, braille, or audio. Call Molina Member Services at the toll-free phone number on your Molina ID card, 7 days a week, 8 a.m. to 8 p.m. local time. TTY/TDD users, please call 711. The call is free.
Download a printable copy of the Notice of Privacy Practices [ English | Español]
Adobe Acrobat Reader is required to view the file(s) above. Download a free version.