Member Complaints (Grievances) and Appeals

As a Molina Healthcare of Utah Medicaid Integrated Care member, if you have a problem with your medical care or our services, you have a right to file a complaint, grievance or appeal. A complaint is the first part of the grievance process.

Types of complaints and grievances may include:

  • You have a problem with the quality of your care.
  • Wait times are too long.
  • Your doctors or the doctor’s staff behaves badly.
  • You can’t reach someone by phone.
  • You can’t get info.
  • A doctor’s office is not clean.
  • Your enrollment ends and you didn’t want it to.
  • You can’t find a provider in your area.
  • You can’t get your drug.

An appeal can be filed when you do not agree with Molina Healthcare of Utah’s decision to:

  • Stop, suspend, reduce or deny a service.
  • Deny payment for services provided.

We want you to have access to the complaint, grievance and appeal process. The Member Services Department can help with this process. You can call (888) 483-0760 (TTY/TDD: 711), Monday thru Friday from 9:00 a.m. to 5:00 p.m., local time.

We can help you through each step.