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Members

How to file a Complaint

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As a Molina Healthcare member, if you have a problem with your medical care or our services, you have a right to file a complaint. A complaint can be filed when you are unhappy with your care.  Some examples are:

  • ​The care you get from your doctor
  • The time it takes to get an appointment or be seen by a doctor
  • The doctors you choose for care

To file your complaint, you can call Molina Healthcare Member Services at:

·         (866) 449-6849

·         TTY English (800) 735-2989 or dial 711

·         Texas Relay Spanish (800) 662-4954

or

·         Fill out the Complaint /Appeal form​  and mail it to: 
Molina Healthcare of Texas 
Member Inquiry Research and Resolution Unit 
P.O. Box 165089 
Irving, TX 75016

        Be sure to include the following:

·      Member’s first and last name

·      Molina Healthcare ID number. It is on the front of the Member ID Card

·      Member’s address and telephone number

·      Explain the problem

If you would like to check the status of your complaint, please call Member Services at (866) 449-6849.

​​Filing a Complaint:

If you receive benefits through Medicaid’s STAR or STAR+PLUS programs, call your medical or dental plan first. If you don’t get the help you need there, you should do one of the following:​ 


 

a) Call Medicaid Managed Care Helpline at (866) 566-8989 (toll free)

b) Online: Online Submission Form​ (works only in Internet Explorer)

c) Mail: Texas Health and Human Services Commission

             Office of Ombudsman, MC H-700

              P.O. Box 13247

              Austin, Texas 78711-3247

d) Fax: (888) 780-8099 (toll free)

 


 

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This information is for Doctors and
Health Care Professionals only.

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