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The DMHC Protects the Health Care Rights of More Than 25 Million Californians

Panel Title IconFor Health Plan Members

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Californians have the strongest patient's rights laws in the nation. DMHC’s Help Center is available to explain your health care rights and help you understand how to use your health care benefits. The Help Center can also resolve problems you may have with your health plan.

Panel Title IconFor Health Care Providers

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Ensuring prompt and fair payment of health care providers is critical to the stability of California's health care delivery system.  The DMHC’s Provider Complaint Unit can assist California physicians; hospitals and other licensed health care providers resolve disputed claim issues with payers.

Panel Title IconFor Health Plans

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The DMHC licenses and regulates California health plans and strives to streamline the process health plans must follow to comply with the law. This section has all the information and forms plans need to ensure compliance.

What's New

RFP No. 15MC-SA011 - Primary Consumer Organization Premium Rate Review

Tuesday, February 9, 2016
 The Department of Managed Health Care (DMHC) is seeking a private non-profit consumer advocacy organization to provide input and comments on premium rate review filings. Utilizing rate review criteria adopted under Health and Safety Code Section 1385.03, the Contractor will analyze health plan premium rate filings in order to develop comments on those filings. Comments will be submitted to the DMHC for posting on the DMHC’s website.  More...

2014 Annual Report

Thursday, December 3, 2015

The Department of Managed Health Care (DMHC) has issued its 2014 annual report. In addition to serving as the annual report for 2014, the report also celebrates the many momentous anniversaries occurring this year: the 15th anniversary of the creation of the DMHC; the 40th anniversary of the Knox-Keene Health Care Service Plan Act of 1975; and, the 5th anniversary of federal health care reform.  More....

Department of Managed Health Care Strategic Plan 2015 - 2019

Tuesday, September 1, 2015

The Department of Managed Health Care has announced its five-year strategic plan. The strategic plan includes a new mission statement, as well as the core values, goals, objectives and strategies for accomplishing the Department’s mission. This plan was developed with input from DMHC staff and external stakeholders.  More...

Learn About...

  • DMHC
  • Rate Review
  • Consumer Assistance
  • Independent Medical Review (IMR)
  • Medical Loss Ratio

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