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  • California Department of Managed Health Care
    The mission of the Department of Managed Health Care (DMHC) is to ensure health plan members have access to equitable, high-quality, timely, and affordable health care within a stable health care delivery system
  • How to File a Complaint - California Department of Managed Health Care
    Independent Medical Review Complaint Process If your Health Plan denies, changes or delays your request for medical services, denies payment for emergency treatment or refuses to cover experimental or investigational treatment for a serious medical condition, you can apply for an Independent Medical Review (IMR) You can also file a Consumer Complaint when you have other issues with your
  • About the DMHC - California Department of Managed Health Care
    The mission of the Department of Managed Health Care (DMHC) is to ensure health plan members have access to equitable, high-quality, timely, and affordable health care within a stable health care delivery system
  • Independent Medical Review and Complaint Reports
    Independent Medical Review, Arbitration, and Complaint Reports The DMHC helps health plan members with problems getting the health care services they need The DMHC has a searchable online database of Independent Medical Review (IMR) and arbitration decisions, as well as reports about complaints made against health plans IMR and Complaint Reports Reporting to the public is an important part
  • Data Research - California Department of Managed Health Care
    Medical Survey Reports - California managed care law (Knox-Keene Health Care Service Plan Act) requires the Department to conduct a routine medical survey of each licensed full service and specialty health plan at least once every three years
  • DMHC All Plan Letters - California Department of Managed Health Care
    All Plan Letters (APLs) and All Licensee Letters (ALLs) provide specific guidance and information to Licensees regulated by the Department of Managed Health Care Browse APLs and ALLs issued in the previous years 2026 | 2025 | 2024 | 2023 | 2022 | 2021 | 2020 | 2019 | 2018 | 2017 | 2016 | 2015
  • DMHC Laws Regulations - California Department of Managed Health Care
    The laws by which the Department regulates health plans come in two varieties: those statutes enacted by the Legislature and those regulations developed by the Department The California Legislature has enacted a body of statutes collectively known as the Knox-Keene Health Care Service Plan Act of 1975, as amended
  • California Health and Human Services Agency Department of Managed . . .
    California Health and Human Services Agency Department of Managed Health Care Office of the Director Director – Mary Watanabe •
  • DMHC COVID-19 Response - California Department of Managed Health Care
    The resources below provide information about health plan requirements to cover COVID-19 health care services, and DMHC guidance to health plans DMHC Fact Sheets Learn more about health care coverage options and health plan member rights for COVID-19 health care services
  • Types of Plans - California Department of Managed Health Care
    The Department of Managed Health Care (DMHC) oversees all HMOs in California and some other kinds of health plans An HMO is a kind of health insurance that has a list of providers, such as doctors, medical groups, hospitals, and labs





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