You have the right to appeal a denial An appeal is a request to review a denied service or referral. You can appeal our decision if a service was denied, reduced, or ended early. What is a denial? A ...
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 (grievance) or appeal. A complaint (grievance) can be filed when you a...
Step 4 - Health Care Authority (HCA) Board of AppealsYou can ask for a final review of your case by the HCA Board of Appeals Review Judge. You must ask for this within 21 calendar days after the Indep...
Grievances are complaints. If you are unhappy with the service from Molina Healthcare or from providers who contract with Molina Healthcare, you have the right to file a grievance. What is a grievance...
If you disagree with Molina Healthcare’s appeal decision, you can ask for a State Hearing. You must complete Molina Healthcare’s appeal process before you can have a hearing. You must ask for a hearin...
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Molina’s UM Department is designed to provide comprehensive health care management by managing utilization services and benefits effectively and efficiently.
UM Decision Mak...
Welcome to Molina Healthcare of Washington, Inc. Enclosed please find your Molina Provider Manual, written specifically to address the contractual and regulatory requirements of delivering health care...
Member Rights and Responsibilities
Apple Health (AH) and Integrated Managed Care (IMC) Member Rights
Help make decisions about your health care, including mental health and substance use disord...
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What is a denial?
A denial means Molina Healthcare is telling a provider and you that services will not be provided (or they will...
