Complaints, Grievances, & Appeals
Member Grievance and Appeals
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) or appeal. A (grievance) can be filed when you are unhappy with your care. Some examples are:
- The care you get from your provider.
- The time it takes to get an appointment or be seen by a provider.
- The providers you can choose for care.
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 complaint process and can help you through each step.
*You may request printed copies of all content posted on our website.