By Zoe Bulls On January 28, 2025, the Department of Managed Health Care (DMHC) held a second stakeholder meeting and presented an actuarial analysis outlining the benefit allowance, potential coverage options, and cost projections for the proposed California’s Essential Health Continue reading
By Zoe Bulls On January 10, 2025, the Department of Managed Health Care (DMHC) published notice of proposed rulemaking to add section 1300.67.27 to title 28 of the California Code of Regulations (CCR) to clarify how health plans licensed to Continue reading
By Zoe Bulls In an enforcement action against two health plans, the California Department of Managed Healthcare (DMHC) fined Blue Cross of California Partnership Plan, Inc. and Blue Cross of California (Anthem Blue Cross) a combined $8.5 million for violating Continue reading
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
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
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
By William Espinosa On March 4, 2022, the Department of Managed Health Care (DMHC) released a statement detailing its enforcement action against Local Initiative Health Authority for Los Angeles County (L.A. Care), the state’s largest Medi-Cal plan. The action is Continue reading
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
By William Espinosa On December 30, 2021, the Department of Managed Health Care (DMHC) announced that it had approved Centene Corporation’s acquisition of Magellan Health, Inc. (Magellan), with certain conditions. Magellan is the parent entity for two DMHC-licensed plans: Human Continue reading
By Yusra Serhan On November 1, 2021, the Department of Managed Health Care (DMHC) issued an All Plan Letter to all full-service health care service plans regarding health care coverage of the influenza vaccines and COVID-19 vaccines for children aged Continue reading
