Expedited (Fast) Appeal - Urgent Cases
If you or your doctor believes that the usual 30 calendar day timeframe for appeals will cause harm to your health, or affect your normal body functions, your appeal may be expedited (fast). You, your Provider or an Authorized Representative may file a fast appeal within 10 calendar days of the date the adverse benefit determination was received. We will give you a verbal decision on a fast appeal within 72 hours. We will follow up in writing in 2 days. You have the right to ask for a copy of the benefit guidelines used to make this decision. You may request a fast appeal with Department of Insurance and Financial Services (DIFS) after you have filed a fast appeal with Molina Healthcare. If Molina Healthcare denies your request for a fast appeal, you may request an fast external review with the DIFS within 10 calendar days of the denial.