Your Medicare appeals and grievances in New Mexico

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

If you have a complaint, please call Member Services 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 Toll Free: (866) 440-0127 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
  Attn: Appeals & Grievances
  P.O. Box 22816
  Long Beach, CA 90801-9977
• Log in to the Molina 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 at https://www.Medicare.gov

Read your Member Handbook

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

Explore the handbook 

Helpful resources

Learn more about your plan and what it covers and find state Medicare information.

Benefits and service 

Drug coverage 

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