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

Department of Managed Health Care Publishes Notice of Rulemaking on Transfer of Enrollees

By Yusra Serhan On September 17, 2021, the Department of Managed Health Care (DMHC) published notice of its intent to adopt section 1300.67.02, Title 28 of the CCR to permanently adopt the emergency regulation that became effective on January 15, Continue reading

Department of Managed Health Care Proposes the Formal Adoption of Dental Benefits and Coverage Disclosure Matrix Regulations

By William Espinosa On July 23, 2021, the Department of Managed Health Care (DMHC) published notice of rulemaking action pertaining to the formal adoption of section 1300.63.4, Title 28 of the California Code of Regulations (CCR), “Summary of Dental Benefits Continue reading

Department Issues an All Plan Letter Requiring No Cost Sharing on Preventative Health Services Coverage for HIV Preexposure Prophylaxis (PrEP)

By Hunter W. Collins On July 6, 2021, the Department of Managed Health Care (DMHC) released All Plan Letter (APL) 21-018, which requires health plans to provide “coverage for Human Immunodeficiency Virus (HIV) antiretroviral drugs, including preexposure prophylaxis (PrEP) or 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 Healthcare Issues an All Plan Letter Requiring Full-Service Health Plans to Cover COVID-19 Vaccines

By Alex Ruf On December 11, 2020, Sarah Ream, general counsel for the Department of Managed Health Care (DMHC), issued an All Plan Letter to all full-service health plans regarding health care coverage of the new COVID-19 vaccine. The Department Continue reading

Office of Administrative Law Approves Department of Managed Healthcare’s Proposed Emergency Regulation Regarding Transfer of Enrollees Pursuant to a Public Health Order

By Alex Ruf On January 12, 2021, the Department of Managed Healthcare (DMHC) published a notice of emergency rulemaking action with respect to its intent to adopt section 1300.67.02, Title 28 of the California Code of Regulations (CCR), pertaining to Continue reading

Department of Managed Health Care Issues All Plan Letter to Ensure Health Plans Comply with New Law Regarding Coverage for Mental Health and Substance Use Disorder

By Meena Kaypour On January 5, 2021, the Department of Managed Health Care (DMHC) issued All Plan Letter APL 21-002 to all Commercial Full-Service Health Plans and Specialized Health Care Service Plans Offering Behavioral Health Services, entitled “Implementation of Senate Continue reading

Department of Managed Health Care’s Financial Solvency Standards Board Quarterly Update – August 2020

By Meena Kaypour On August 19, 2020, the Department of Managed Health Care’s (DMHC) Financial Solvency Standards Board (FSSB) held its quarterly meeting via Zoom. DMHC staff provided a number of updates to FSSB, namely the Department of Health Care Continue reading