Complaints & Appeals

Member Complaint (Grievance) and Appeals

As a Molina Healthcare member, if you have a problem with your medical care or our services, you have a right to file a complaint (grievance) or appeal. Some examples are:

  • 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.

An appeal can be filed when you do not agree with Molina Healthcare’s decision to:

  • Stop, change, suspend, reduce or deny a service.
  • Deny payment for services provided.

Your Member Services Guide has the information you need to know about:

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