Beneficiary Assistance Program (BAP)

You can ask for a review from the BAP if you are not happy with an appeal decision. You have the panel review your case. You can do this after you completed the Molina Healthcare grievance and appeals process. You have one (1) year from the time of denial to submit to BAP for review. The BAP will not consider a grievance or appeal taken to a Medicaid Fair Hearing. The BAP only hears certain kinds of cases. These are:

 

  • If you are not able to get health care services.
  • The benefits that are covered.
  • An action or denial we made.
  • A benefit action/denial made by us.
  • Payment of a claim.
  • The way we handle a claim.
  • Paying you back for benefits.

 

You can choose to have a Medicaid Fair Hearing. You may not have a BAP review if you do.

If you wish to request a BAP please contact:

Agency for Health Care Administration
Beneficiary Assistance Program
Building 1, MS #26
2727 Mahan Drive, Tallahassee, Florida 32308
(850) 412-4502
(888) 419-3456 (toll-free)