Bookmark and Share

DMHC Regulates Health Plans and Helps Health Plan Members and Providers

Panel Title IconFor Health Plan Members

Hispanic family portrait

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

Doctor consulting patient in wheelchair

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

Man holding file folder

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

Department of Managed Health Care Joins California Health and Human Services Open Data Portal

Tuesday, May 26, 2015

The Department of Managed Health Care (DMHC) posted initial datasets on the California Health and Human Services (CHHS) Open Data Portal. The initial data sets include enforcement actions taken by the DMHC, Independent Medical Review (IMR) decisions, and premium rates filed with the DMHC.

 

CHHS launched its Open Data Portal initiative in order to increase public access to one of the State’s most valuable assets – non-confidential health and human services data. Its goals are to spark innovation, promote research and economic opportunities, engage public participation in government, increase transparency, and inform decision-making.

 

Visit the Open Data Portal here: https://chhs.data.ca.gov/

 

Learn About...

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