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, call Member Services first.
We try to fix problems right away over the phone.
You may also ask for a written response.
If we cannot fix the problem by phone, you can use our formal grievance process.
You must file your grievance within 60 days of when the problem started.
Ways to file a grievance
You can file a grievance by phone, online, or in writing.
By phone:Call Member Services at (855) 735-5831 (TTY: 711)
By fax:Fill out the Member Grievance Form and fax your complaint to (562) 499-0610
By mail:Fill out the Member Grievance Form and mail it to:
Molina Healthcare
Attn: Appeals & Grievances
PO Box 22816
Long Beach, CA 90801-9977
Online: Log in to the My Molina member portal to file your grievance.
We will send a written response for all quality-of-care grievances.
For more information, see Chapter 9 of your EOC. or check your member handbook.
You can also submit a complaint through Medicare at Medicare.gov.
This section explains the processes for handling problems and concerns.
Read your Member Handbook
Your handbook explains:
Covered services
Programs and rewards
How to use your benefits
Keep it handy when you need care.