Notice of Nondiscrimination
Molina Healthcare (Molina) complies with all Federal civil rights laws that relate to healthcare services. Molinaoffers healthcare services to all members and does not discriminate based on race, color, national origin,ancestry, age, disability, or sex.
Molina also complies with applicable state laws and does not discriminate on the basis of creed, gender, genderexpression or identity, sexual orientation, marital status, religion, honorably discharged veteran or militarystatus, or the use of a trained dog guide or service animal by a person with a disability.
To help you talk with us, Molina provides services free of charge, in a timely manner:
• Aids and services to people with disabilities
• Skilled sign language interpreters
• Written material in other formats (large print, audio, accessible electronic formats, Braille)
• Language services to people who speak another language or have limited English skills
• Skilled interpreters
• Written material translated in your language
If you need these services, contact Molina Member Services. The Molina Member Services number is on theback of your Member Identification card. (844) 809-8438 (TTY: 711).
If you think that Molina failed to provide these services or discriminated based on your race, color, nationalorigin, age, disability, or sex, you can file a complaint. You can file a complaint in person, by mail, fax, or email. Ifyou need help writing your complaint, we will help you. Call our Civil Rights Coordinator at (866) 606-3889, orTTY: 711.
Mail your complaint to: Civil Rights Coordinator, 200 Oceangate, Suite 100, Long Beach, CA 90802.
You can also email your complaint to email@example.com. Or, fax to 1 (844) 305-6408.
You can also file your complaint with Molina Healthcare AlertLine, twenty four hours a day, seven days a weekat:
You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office forCivil Rights. Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html. You can mail it to:
U.S. Department of Health and Human Services,
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
You can also send it to a website through the Office for Civil Rights Complaint Portal at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf.
If you need help, call (844) 809-8438; (TTY 711).