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 can 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 (only works in Internet Explorer)
c) Mail: Texas Health and Human Services Commission
             Office of the Ombudsman, MC H-700
             P.O. Box 13247
             Austin, TX 78711-3247
d) Fax: (888) 780-8099 (toll free)