Complaints & Appeals

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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.

 

We want you to have access to the complaints (grievance) and appeals process and can help you through each step.

Your Evidence of Coverage Handbook has the information you need to know about:

     

    *You may request printed copies of all content posted on our website.