What is a Grievance?
A grievance (complaint) is an oral or written expression of dissatisfaction made by a member. It can include any complaint, dispute or request for reconsideration.
What types of problems might lead to you filing a grievance?
- Problems with the quality of the medical care you receive, including quality of care during a hospital stay.
- You feel that you are being encouraged to leave (disenroll from) a Molina Healthcare Health Plan.
- Problems with the service you received.
- Problems with how long you have to spend waiting on the phone, in the waiting room, in a pharmacy, or in the exam room.
- Disrespectful or rude behavior from providers, nurses, receptionists, pharmacists or other health care staff.
- Problems with the cleanliness or condition of providers’ offices, clinics, network pharmacies, or hospitals.
- You have difficulty understanding our notices and other written materials.
If you have one of these types of problems and want to make a complaint, it is called “filing a grievance.”