If you filed an appeal with Molina Healthcare and we did not change our decision, you have the right to request a state hearing from the State of Ohio. You can ask for a state hearing only after we answer your appeal.
What is a state hearing?
A state hearing is a meeting with you, someone from Molina Healthcare, and a hearing officer from the Bureau of State Hearings.
In a state hearing, Molina will explain why your service was not approved. You can explain your point of view and provide documents or other information that supports your appeal. You can bring someone who knows about your case to your state hearing, including a friend, relative, social worker or lawyer. You may also seek legal counsel and this person can help you through the state hearing process. The hearing officer will make a decision based on the information given and whether Molina Healthcare followed the rules.
How do I ask for a state hearing?
After you appealed with Molina and received our answer, you can ask for a state hearing. Our answer will explain how to request a state hearing and will include a state hearing form. Complete and sign the form, and submit it according to the instructions on the form. You have up to 120 calendar days from the date of the appeal decision to submit the state hearing form to the Bureau of State Hearings.
You can call Molina Healthcare Member Services for help with filing a state hearing request. The phone number is on the back of your member ID card.
Members may fax or write to the Ohio Department of Job and Family Services (ODJFS) Bureau of State Hearings for help.
ODJFS Bureau of State Hearings
P.O. Box 182825
Columbus, Ohio 43218-2825
(614) 728-9574 (Fax)
You can also call the ODJFS Consumer Access Line for help. Call (866) 635-3748.