State Fair Hearing
In addition to the grievance processes offered by Molina Healthcare, members have the right to request a Fair Hearing from the Idaho Department of Health and Welfare. You have a right to request a Fair Hearing when you or your provider has exhausted the Molina Healthcare of Idaho’s Appeal process and a final decision has been made, MHID shall provide written notification to the party or parties who initiated the appeal of the outcome and explain in clear terms a detailed reason for the denial. Members may request a State Fair Hearing by contacting the Idaho Department of Health and Welfare within (120) days from the date of Molina Healthcare of Idaho’s Notice of Appeal Resolution.
If a member is currently receiving a medical service that is going to be reduced or stopped, he/she may continue to receive the same medical service until the hearing if the hearing is requested within ten (10) days from the date the denial letter was postmarked or personally delivered to the member, or before the date of medical service is needed.
Members may write or call Idaho Department of Health and Welfare at (800) 926-2588.
Administrative Procedures Section
Idaho Department of Health and Welfare
450 West State Street 10th Floor
PO Box 83720
Boise, ID 83720-0036
Members have the right to bring someone who knows about the case to attend the hearing with the member, if he/she wishes. Members may also seek legal counsel to represent them. For more information on obtaining free legal aid, contact Idaho legal Services at their toll-free number (800) 926-2588.