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 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

Department of Managed Health Care Issues Prescription Drug Cost Transparency Report for Measurement Year 2019

By Meena Kaypour On December 30, 2020, the Department of Managed Health Care (DMHC) released its Prescription Drug Cost Transparency Report for Measurement Year 2019. Pursuant to SB 17 (Hernandez) (Chapter 603, Statutes of 2017), Health and Safety Code section Continue reading

Department of Managed Health Care Issues All Plan Letter Regarding Populations Vulnerable to Coronavirus

By Rayne Brown On March 27, 2020, the Department of Managed Health Care (DMHC) issued the latest of five all plan letters regarding COVID-19, the global pandemic that has brought several nations to a standstill. All plan letters serve as Continue reading

Department of Managed Health Care (DMHC) issues an All Plan Letter encouraging health plans take actions to help slow the spread of COVID-19

By Taylor C. Brewer On March 12, 2020, acting general counsel, Sarah Ream, of the Department of Managed Health Care (Department) issued a letter to all health care service plans in response to the COVID-19 pandemic. The letter addresses the Continue reading

Department of Managed Health Care Fines Health Plans $1.9 Million for Failing to Provide Care to California Enrollees

By Rayne Brown On December 18, 2019, the Department of Managed Health Care (DMHC) announced an enforcement action against 12 health plans, imposing fines totaling $1.9 million for their failure to properly oversee a contracted medical group that was improperly Continue reading

Department of Managed Health Care Director Approves Anthem, Inc.’s Acquisition of Beacon Health Options

By Taylor C. Brewer On February 5th, 2020, during a public meeting of the Financial Solvency Standards Board, Director of the Department of Managed Health Care (DMHC) Shelley Rouillard announced her approval of Anthem, Inc.’s proposed acquisition of Beacon Health Continue reading

Department of Managed Health Care Releases 2018 Timely Access Report

By Taylor C. Brewer In January 2020, the Department of Managed Health Care (DMHC) published its Timely Access Report for 2018. The Timely Access Regulation, section 1300.67.2.2, Title 28, of the California Code of Regulations (CCR), which became effective in Continue reading

Department of Managed Health Care’s Financial Solvency Standards Board Receives a Preview of the Department’s Upcoming Proposals for Regulations

By Rayne Brown On November 7, 2019, the Department of Managed Health Care’s (DMHC) Financial Solvency Standards Board held its quarterly meeting in Sacramento. At the meeting, DMHC Acting General Counsel, Sarah Ream previewed for the Board four regulations that Continue reading