Members

Member Grievances (Complaints) and Appeals

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*Printed copies of information posted on our website are available upon request.

As a Molina Healthcare member, if you have a problem with your medical care or our services, you have a right to file a grievance (complaint) or appeal. A grievance can be filed when you are unhappy with your care. Some examples are:

  • The way you were treated;
  • The quality of care you get from your provider;
  • Problems getting care;
  • Billing issues; and
  • Attitude and service.

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

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

     

    We want you to have access to the grievance (complaint) process and can help you through each step.

    If you need help, call (800) 869-7165, TTY 711. We will keep your information private. If you do not speak English, we can help. If you need any information in a language other than English, call us at (877) 644-4613, TTY 711.  We will provide language assistance at no cost to you.  

    HOW TO: