Members

Complaints, Grievances, & Appeals

cna

Member Complaint (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 complaint (grievance) or appeal. A complaint (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 (grievance) process and can help you through each step.

HOW TO:

 

You may request printed copies of all our content posted on our website. All appeals and grievances, forms associated services are available free of charge.