Your Medicare appeals and grievances in Mississippi

Appeals and grievances

We encourage you to let us know right away if you have questions, concerns, or problems related to your covered services or the care you receive. Please call (855) 483-8741 (TTY: 711)

If you are unhappy with your care, you can file a grievance 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 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

If you have a complaint, please call Member Services first at (855) 483-8741 (TTY: 711). We will try to fix your problem over the phone. We will send you a written response if you ask for one.

If we can’t solve 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 (855) 483-8741 (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 My Molina member portal to file your grievance electronically

We will respond to all quality of care grievances in writing, no matter how the grievance was filed.

For more information, see your Evidence of Coverage (EOC) booklet.

You can also submit a complaint through Medicare at https://www.Medicare.gov.

Read your EOC booklet. Your EOC explains covered services, programs, rewards and how to use your benefits. Keep it handy when you need care.

Explore your EOC