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eFile Guide

1. Go to secure internet address:  https://wpso.dmhc.ca.gov/secure/auth/default.aspx?ReturnUrl=%2fsecure%2flogin/

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1.1 Please select a Health Plan from the drop down menu.

1.2 Enter your Login and Password.

1.3 CLICK the Login button.


2. Select applicable application: e-Filing.

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3. Select "File Documents" or other appropriate links from options listed on the left.

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The Filing Quick View on the right is an informational only synopsis of the Filing Status of every submission created by the Plan.

The Plan may view the status of their submission(s) at any time. (See the Filing Status Key listed below)

FILING STATUS KEY
Upload in Progress New Filing record initiated by Plan. Not yet submitted to DMHC.
Amendment in Progress Amendment to pending Filing initiated by Plan. Not yet submitted to DMHC.
Unassigned/Pending File Clerk Review Filing has been submitted to DMHC. Not yet accepted by File Clerk(s).
Accepted and in Review Filing has been officially accepted by DMHC. Statutory Timeline has begun. Assigned and in review by DMHC staff.
Pending with Health Plan Correspondence (e.g. comment letter) has been issued to the Plan by the reviewing party requesting clarification, revision or correction. Plan response must be filed as an amendment to this particular pending eFiling amendment/material modification/report.
Closed Review of this eFiling is complete. Filing closed. No additional amendments to this eFiling allowed.

4. Create new Filing under File Documents link.

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4.1 Select Filing Type

  • If submitting a new/initial Filing, select "New Filing".
  • If amending or responding to a currently pending Filing (Amendment, Material Modification, Report/Other, etc.), select "Amendment to Prior Filing".

4.2 Type in brief description

4.3 Select appropriate Filing Type from drop down menu (as exemplified below):

  • Amendment filed by a licensee pursuant to section 1352(a)
  • Notice of a proposed Material Modification
  • Original application for a Plan License
  • Quality Improvement Fee Application
  • Report/Other

4.4 Click Create Filing button.

You've now created a unique record/Filing number. Please make any changes to this page as necessary, then click update. You may now continue to upload your documents.

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5. Select “Upload Documents” link to begin uploading documents to be included in your Filing submission.

The Upload Document link is formatted to facilitate eFilings that contain several documents, particularly those with several documents of the same Document Type (or Exhibit). It is recommended that the Plan upload the documents included in their eFiling by Document Type (or Exhibit). However you may opt to upload one document at a time if preferred.

Step 1.   The "Number of Documents" field is to identify how many documents of this particular Document Type will be uploaded at this time. Only 10 documents of a single Document Type may be uploaded at a time. However, this can be done multiple times until all appropriate documents have been attached.

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Step 2.   The "Document Type" field is to identify the specific Exhibit/Document being attached. A default title will identify to the Department each document attached at the next step. This drop-down listing enables the Plan to identify and upload several documents (up to 10) of the same type (example: multiple F-1-f Individual Information Sheet templates or several Exhibits E-1 Summary of Filing or Exhibits K-1 Provider Contracts) in just a few easy steps at one time. The Document Type selected will identify the specific documents uploaded at that time and determine Public or Confidential status of the document. Some Document Types are by default “Confidential” and when selected, will secure the attached document as confidential (as indicated by the padlock symbol).

Please see Document Type list. Specific Document Types are only available when submitting a Report/Other File Type eFiling. For example, when filing the Anti-Fraud Annual Report, one would use Document Type Exhibit J-6. However, if a new filing were created and identified using the File Type “Amendment”, when it came time to upload the associated documents, the correct Document Type Exhibit J-6 would not be available. Once the File Type is changed to reflect Report/Other, then the Document Type Exhibit J-6 will appear in the drop down menu.

Rule:   At least one document identified using Document Type “Exhibit E-1 Summary of Filing” MUST be uploaded for any Filing to be submitted successfully.

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Step 3.   The Browse fields available will be directly proportionate to the number of Documents you have selected to upload for this particular Document type. Select the first browse button. This should take you to a search screen allowing you to find the saved file w/in your computer or network.

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Step 4.

a. Once the appropriate document file is located, select and press Open. Click on the next available Browse button to select the next document of this SAME document type to be uploaded. Continue until all Browse fields are filled or when ready to upload the NEXT Document Type.

b. Select Upload.

You may now begin again at step 1, by selecting the number of documents of the next Document Type to be uploaded at this time.

Repeat steps 1-4 until ALL appropriate documents for this Filing are uploaded.

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Step 5. Select “Complete Amendment” link

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  • Please verify that the Plan information listed is correct. If you see an error, please email Licensingefiling@dmhc.ca.gov
  • Please complete all the required fields identified with an asterisk (*):
    • Select plan signatory from drop down menu.
    • Type in city and state where electronically executed.
    • Select appropriate checkboxes as indicated below

FINAL STEP: Select Complete Filing button when ready to submit documents to DMHC. Congratulations.

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Recommended: For your records, please print or save the confirmation page that will appear after successfully submitting a Filing (see example below).

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For any further assistance or additional comments/suggestions, please contact Licensing eFiling at (916) 324-9046 or LicensingeFiling@dmhc.ca.gov.

Need Help with Your Health Plan?

Call the DMHC Help Center

1-888-466-2219

or submit an Independent Medical Review/Complaint Form

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