Molinalogo

If the appeal was denied and you still do not agree with Molina’s decision, or if you do not receive the appeal resolution letter on time, you, or someone acting for you with your written permission, can ask for an Independent External Review.

How to Ask for an Independent External Review:

• When you ask for an Independent External Review, the MLS Group of Companies reviews the decision that was made by Molina.
• You may ask for an Independent External Review any time within 120 calendar days after you get our notice of plan appeal resolution unless there is an acceptable reason for a delay.
• You must finish your plan appeal process first before you can ask for an Independent External Review.

To ask for an Independent External Review, you may submit your request to the Molina Appeals and Grievance department. The Appeals and Grievance team will submit the Independent External Review to the MLS Group of Companies for review; the MLS Group of Companies will contact you when the review is completed.  Please submit your request to the following:

Independent External Review Request

Attn: Member Grievance & Appeals

188 E. Capitol St., Ste 700

Jackson, MS 39201

Fax Number: (844) 808-2407

The MLS Group of Companies does not have any ties to Molina. The MLS Group of Companies will let you know in writing when they have received your Independent External Review request and of the Independent External Review decision in writing. Molina will meet the terms of the Independent External Review decision made by the MLS Group of Companies. The decision made by the MLS Group of Companies in these matters will be final.

If you have questions, call us at (844) 809-8438, TTY/TDD 711. For more information on your rights, review the Grievance and Appeal section in your Member Handbook.