Si tiene algún reclamo, le invitamos a comunicarse primero con el Departamento de Servicios a los Miembros. Intentaremos resolver cualquier reclamo que pueda tener por teléfono. Si solicita una respue...
If you have a complaint, we encourage you to first call Member Services. We will try to resolve any complaint that you might have over the phone. If you request a written response to your phone compla...
Molina Healthcare’s Health Promotion programs will be incorporated into the Member’s treatment plan to address the Member’s health care needs.
Advocacy
All Molina Healthcare members have access to a...
PROVIDER Claim Disputes- THE “APPEALS PROCESS”
A Provider/Practitioner grievance or complaint is described in Title 22, California Code of Regulations (CCR), as a written entry into the appeals proc...
Long term services and supports are Medi-Cal benefits that help members with ongoing personal care needs. Molina will work with the member's doctors and long term services and supports providers to ar...
Centers for Medicare & Medicaid Services (CMS) has provided guidance that State Medicaid agencies must resume eligible renewal (redetermination) activities between February 1 and April 1, 2023.
Given ...
Molina Healthcare of Ohio seeks to uphold the highest ethical standards for the provision of health care benefits and services to its members and supports the efforts of federal and state au...
The Health Benefits for Immigrant Seniors (HBIS)/ the Health Benefits for Immigrant Adults (HBIA) program provides coverage to adults 42+ and seniors, without regard to immigration status.
This websit...
