How to File an Expedited Review
A member (or someone on their behalf) may request an expedited appeal of a denied service when taking the time for a standard resolution could seriously jeopardize the member’s life or health or ability to attain, maintain, or regain maximum function.
How do I (or someone on my behalf) request an expedited appeal?
Tell Molina Healthcare you would like your appeal expedited by phone, fax or mail. Molina Healthcare will review your request and decide if it meets the criteria for an expedited appeal.
How soon will Molina Healthcare decide to expedite my appeal?
Molina Healthcare will decide whether or not to expedite your appeal within 1 calendar day of the appeal request. We will make a reasonable effort to tell you by phone whether or not we will expedite your appeal.
How soon will a decision be made for an expedited appeal?
If we expedite your appeal, Molina Healthcare will make a decision as quickly as needed. We will make a decision no more than 72 hours from the time we received your appeal request.
What happens if my appeal does not meet the criteria for an expedited appeal?
If your appeal does not meet the criteria for an expedited decision, Molina Healthcare will tell you that we will not expedite your appeal within 2 calendar days from the time we received your request. We will tell you this in writing. We will tell you how to file a complaint about our decision to deny the expedited appeal.
We will make a decision about your appeal within 15 calendar days from the date we received your appeal request. This is the standard resolution timeframe for appeals.
*You may request printed copies of all content posted on our website.