Molina Healthcare (California) appeal deadlines & timely filing (2026, verified)
The deadlines below are quoted verbatim from Molina Healthcare (California)’s own published provider documents and, where noted, from the governing regulation. Which rule applies to a given claim depends on the product’s regulator and on your participation agreement — contracted limits can differ from published floors.
Per Appealant’s verified payer-deadline database, every value on this page is quoted verbatim from a primary source — Molina Healthcare (California)’s own published provider documents or the governing regulation — with the source linked and its effective date shown (sources re-retrieved 2026-07-04).
Calendar, business, and working days are not interchangeable, and month-based windows are never converted to day counts. Source documents were re-retrieved and verified 2026-07-04.
What is the provider dispute filing deadline for Molina Healthcare (California)?
365 calendar days, counted from last date of action on issue. Verified verbatim by Appealant from the primary source — Molina CA Medi-Cal Provider Dispute policy (also 2024 CA Marketplace Provider Manual, pp. 120-121), effective 2023-09-07 — most recently re-retrieved 2026-07-04.
What is the medicare provider dispute filing deadline for Molina Healthcare (California)?
365 calendar days, counted from original remittance advice date. Verified verbatim by Appealant from the primary source — Molina CA Medicare Provider Manual (2023), pp. 105-106, effective 2023-01-01 — most recently re-retrieved 2026-07-04.
Full rules table, with verbatim sources
| Rule | Value | Clock starts | Applies to | Verbatim source text |
|---|---|---|---|---|
| Provider dispute filing | 365 calendar days | last date of action on issue | Provider deadline | Providers may dispute by submitting and completing a Provider Dispute Resolution Request Form within three hundred sixty-five (365) days from the last date of action on the issue. Molina CA Medi-Cal Provider Dispute policy (also 2024 CA Marketplace Provider Manual, pp. 120-121) (effective 2023-09-07) |
| Medicare provider dispute filing | 365 calendar days | original remittance advice date | Provider deadline | Providers requesting a reconsideration of a claim previously adjudicated must request such action within 365 calendar days of Molina's original remittance advice date or longer as stated in the Provider Agreement. Molina CA Medicare Provider Manual (2023), pp. 105-106 (effective 2023-01-01) |
| Dispute resolution response | 45 working days | date of receipt of dispute | Payer / reviewer clock | Molina will provide a written response to the provider within 45 working days from the date of the dispute and allows two levels of dispute. Molina CA Medi-Cal Provider Dispute policy (also 2024 CA Marketplace Provider Manual, p. 121) (effective 2023-09-07) |