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Use the health plan dashboard to view or compare health plan information. The health plan dashboard features health plan contact information, enrollment data, complaint and IMR data, enforcement actions, and financial data.

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What's New

Public Meeting on Standard Formulary Template Related to Senate Bill 1052

Monday, August 14, 2017

The Department of Managed Health Care (DMHC) invites you to a public meeting on the development of the standard formulary template as required by Senate Bill 1052 (2015). The meeting will be held at 980 9th Street, 5th Floor, Sacramento, 95814, on August 25, 2017, beginning at 10:00 a.m. and ending after the last public comment is received. Seating is limited for in-person attendance and will be on a first-come, first-served basis. Participants may also join via conference line at the phone number listed in the agenda. The purpose of the meeting is to solicit public input on the draft standard formulary template in advance of the DMHC beginning the formal rulemaking process.

Click here to view the agenda for the public meeting. Click here to view the draft standard formulary template. 

For additional information, please contact stakeholder@dmhc.ca.gov.

Notice of Intent to Award

Tuesday, August 1, 2017

Notice of Intent to Award for Request for Proposal 17MC-SA004, Actuarial Services for Health Insurance Premium Rate Review.

DMHC, Kaiser Reach Agreement to Address Access to Behavioral Health Care Services

Tuesday, July 18, 2017
The California Department of Managed Health Care (DMHC) announced today that it has reached an agreement with Kaiser Foundation Health Plan, Inc. (Kaiser Permanente) to correct identified issues with the plan's oversight of and access to behavioral health services.  More...

Surprise Medical Bills

Thursday, June 22, 2017
A new law created by Assembly Bill (AB) 72 (Bonta, Chapter 492, Statutes of 2016) protects consumers from surprise medical bills when they go to in-network facilities such as hospitals, labs or imaging centers. This new consumer protection starts July 1, 2017, and makes sure consumers only have to pay their in-network cost sharing. Providers now cannot send consumers out-of-network bills when the consumer did everything right and went to an in-network facility.

Public Meeting on Implementation of Assembly Bill 72

Friday, June 16, 2017

The Department of Managed Health Care (DMHC) invites you to a public meeting on the development of the standardized methodology for determining the average contracted rate paid to noncontracting providers as required by AB 72 (2016). The meeting will be held in Sacramento on June 26, 2017, from 1:30 p.m. to 3:30 p.m. Seating is limited for in-person attendance and will be on a first-come-first-served basis.  Click here to view the agenda, including information on how to join via webinar or conference line.

The purpose of the meeting is to solicit public input on the development of the standardized methodology for calculating the average contracted rate for the services most frequently subject to Health and Safety Code Section 1371.9. In addition, the DMHC will provide an update on the implementation of AB 72 and provide an opportunity for public discussion related to the establishment of the Independent Dispute Resolution Process (IDRP).

Click here for more information regarding the implementation of AB 72, including the documents provided to health care service plans and delegated entities to file the average contracted rate information by July 1, 2017.

To view the presentation, click here.

2016 Annual Report and Infographic

Monday, June 12, 2017

The Department of Managed Health Care 2016 annual report and infographic are now available online. Both of these documents highlight the DMHC’s activities during 2016 and include key statistics about the Department.

DMHC 2016 Annual Report

2016 Infographic

Measurement Year 2015 Timely Access Report

Thursday, February 2, 2017
The Department of Managed Health Care Measurement Year 2015 annual timely access report is now available online.

Public Meeting on Large Group Aggregate Rates (SB 546)

Friday, January 20, 2017

The Department of Managed Health Care (DMHC) invites you to a public meeting on large group aggregate rates as required by SB 546 (Leno, Chapter 801, Statutes of 2015). The meeting will be held in San Francisco on February 1, 2017, from 3 p.m. to 6 p.m. The purpose of the meeting is to discuss the large group aggregate rate information submitted to DMHC on October 1, 2016, and to provide an opportunity for public discussion of the reasons for the changes in the rates, benefits, and cost sharing in the large group market. The agenda and the PowerPoint presentation for the public meeting have been posted.  The large group aggregate rate information submitted on October 1, 2016, is posted under Premium Rate Review.

For additional information please contact stakeholder@dmhc.ca.gov.

DMHC announces 2016 “Right Care Initiative” award recipients

Monday, November 14, 2016
Today, the California Department of Managed Health Care (DMHC) announced the recipients of the 2016 Right Care Initiative awards. Awards are given annually to California health plans and medical groups who meet clinical performance standards for preventing heart attacks, strokes and diabetic complications. More...

DMHC Fines Anthem Blue Cross $650,000 for Pattern of Grievance System Violations

Thursday, November 10, 2016
The California Department of Managed Health Care (DMHC) announced today that it took enforcement action including a $650,000 fine against Blue Cross of California (Anthem Blue Cross) for failing to identify, timely process and resolve enrollees’ grievances. Anthem Blue Cross also failed to fully and timely provide information to the Department during the investigation of member complaints. 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....

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