Molinalogo

If you or your doctor believes that the usual 30 day timeframe for appeals will cause harm to your health, or affect your normal body functions, your appeal may be expedited (urgent). You, your Provider or an authorized representative may file an expedited appeal within 10 days of the adverse determination.Expedited appeals are decided in 72 hours and mailed in two days. You have the right to ask for a copy of the benefit guidelines used to make this decision. You may request an expedited appeal with OFIR after you have filed an expedited with Molina Healthcare. If Molina Healthcare denies your request for an expedited appeal, you may request an expedited external review with the Office of Financial and Insurance Regulation (OFIR) within 10 days of the denial.