Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Molina Healthcare of Washington before sending sensitive documents. FaxFlow is not affiliated with this organization.

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Molina Healthcare of Washington fax number

(877) 814-0342

Member Appeals

Used for: Grievances/complaints and member appeals submissions to Molina Healthcare of Washington, including related documents such as exceptions to rule requests.

Fax destination details

Department
Member Appeals
Purpose
Grievances/complaints and member appeals submissions to Molina Healthcare of Washington, including related documents such as exceptions to rule requests.
Form
Exception to Rule Request — Exception to Rule Form

Before you send

  • Confirm that this exact department handles your document or request.
  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Provide member details and supporting clinical information; reference WAC 182-501-0160; all fields must be completed for evaluation.

Official form instructions are published as a downloadable file on the organization's website.

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