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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What is a denial?
A denial means Molina Healthcare is telling a provider and you that services will not be provided (or they will...
Le invitamos a comunicarse con nosotros de inmediato ante cualquier duda, inquietud o problema con respecto a sus servicios cubiertos o la atención que recibe. Servicios para Miembros
Consulte Chapte...
We encourage you to let us know right away if you have questions, concerns, or problems related to your covered services or the care you receive. Please call Member Services
See Chapter 9 of the EOC*...
Did you know you must renew your Apple Health (Medicaid) Behavioral Health Services Only (BHSO) benefits each year?
Since you’re enrolled in Apple Health, the state reviews your information each year ...
What’s covered
Molina Healthcare covers outpatient mental health treatment services with licensed mental health specialists.
You may self-refer for an initial evaluation and outpatient behavioral hea...
