Members

How to File a Complaint

Medical symbol caduceus snake with stick

Members can file a complaint over the phone with member services. Members must file a grievance in writing within ninety (90) days from the day the incident or action occurred, which caused the member to be unhappy.

To file a complaint, you can:

 

To file a grievance, you can:

  • Write a letter and mail it to:
    Molina Healthcare of Wisconsin
    Grievance and Appeals Unit
    PO Box 242480
    Milwaukee, WI 53224-9931

 

  • Be sure to include the following:
    • Member’s first and last name
    • ForwardHealth / Medicaid ID number. It is on the front of the ForwardHealth ID Card
    • Member’s address and telephone number
    • Explain the problem

 

If you want to talk to someone outside of Molina Healthcare Health Plan about the problem, call the HMO Enrollment Specialist at (800) 291-2002. The Enrollment Specialist may be able to help you solve the problem, or can help you write a formal grievance to Molina Healthcare Health Plan or to the BadgerCare Plus and Medicaid SSI programs.

You may also file a complaint with the Wisconsin BadgerCare Plus and Medicaid SSI Program.  Please call Molina
Healthcare’s Member Advocate if you need help to write a formal grievance to Molina Healthcare Health Plan or to the BadgerCare Plus and Medicaid SSI programs.
The address to complain to the Wisconsin BadgerCare Plus and Medicaid SSI Programs is:

BadgerCare Plus and Medicaid SSI
Managed Care Ombuds
P.O. Box 6470
Madison, WI 53716-0470
 
If your complaint or grievance needs action right away because a delay in treatment would greatly increase the risk
to your health, please call Molina Healthcare as soon as possible at (888) 999-2404 or (800) 947-3529.
 
We cannot treat you differently than other members because you file a complaint. Your health care benefits will not be affected.