Department of Managed Healthcare Levies $250,000 Against Blue Shield of California for Illegal Billing of Contraceptive Services

By Zoe Bulls On August 28th, 2024, the California Department of Managed Healthcare (DMHC) countersigned a Letter of Agreement with California Physicians’ Service (Blue Shield of California) that notified the health plan provider of a $250,000 fine for billing 335 Continue reading

Department of Managed Healthcare Proposes Rulemaking Action on Annual, Quarterly, and Monthly Financial Reporting Requirements

By Yusra Serhan On December 24, 2021, the Department of Managed Health Care (DMHC) published notice of its intent to adopt Rule 1300.84.03; amend and renumber Rules 1300.84.06; amendment to Rules 1300.84.2 and 1300.84.3; and renumber Rules 1300.84.06 to 1300.84.1, Continue reading

Department of Managed Health Care’s Health Equity and Quality Committee Convenes its First Meeting

By Hunter W. Collins On February 24, 2022, the Department of Managed Health Care’s (DMHC) Health Equity and Quality Committee (Committee) held its first meeting via Zoom. AB 133 (Committee on Budget) (Chapter 143, Statutes of 2021), which became effective Continue reading

AB 1400, the California Guaranteed Health Care for All Act, Pulled Before Voting Occurred in the Assembly

By Yusra Serhan AB 1400 (Kalra), titled the “California Guaranteed Health Care for All Act,” as amended January 24, 2022, and as it applies to the DMHC, would have added Title 23 to the Government Code to establish a universal Continue reading

Department of Managed Health Care Issues Prescription Drug Cost Transparency Report for Measurement Year 2020

By Hunter W. Collins On December 27, 2021, the Department of Managed Health Care (DMHC) released its Prescription Drug Cost Transparency Report for Measurement Year 2020. Pursuant to SB 17 (Hernandez) (Chapter 603, Statutes of 2017), Health and Safety Code Continue reading

Department of Managed Health Care Provides Independent Analysis of the Competitive Effects of Centene’s Proposed Acquisition of Magellan Health

By William Espinosa On October 12, 2021, Deborah Haas Wilson, PH.D., who was retained by the Office of the California Attorney General on behalf of DMHC, published her independent analysis of the anti-competitive impact on subscribers and enrollees of a Continue reading

SB 65 Becomes Law, Requiring Investigation into Serious Illness and Deaths Associated with Pregnancy and Childbirth to Reduce Racial Disparities

By Hunter W. Collins SB 65 (Skinner), the “California Momnibus Act,” as amended September 2, 2021, adds section 123660, adds Article 4.7 (commencing with section 123635), and adds Article 4 (commencing with section 128295) to the Health and Safety Code Continue reading

California COVID-19 Emergency Testing Regulations Imposed By DMHC without Notice Ruled Improper

By William Espinosa California Association of Health Plans v. Mary Watanabe, et al., Case No. 20STCP03773 (Super. Ct., Los Angeles County). On May 5, 2021, after full consideration of the arguments and evidence presented at trial by Petitioner California Association Continue reading

Department Did Not Violate Weldon Amendment, According to the U.S. Department of Health and Human Services’ Office for Civil Rights (OCR)

By Hunter W. Collins In an August 13, 2021 letter, the U.S. Department of Health and Human Services’ Office for Civil Rights (OCR) withdrew and closed a complaint against the State of California and the Department of Managed Health Care Continue reading