{"id":388,"date":"2021-02-12T16:29:56","date_gmt":"2021-02-12T16:29:56","guid":{"rendered":"https:\/\/sites.sandiego.edu\/cpil-blog\/?p=388"},"modified":"2021-02-15T16:42:42","modified_gmt":"2021-02-15T16:42:42","slug":"office-of-administrative-law-approves-department-of-managed-healthcares-proposed-emergency-regulation-regarding-transfer-of-enrollees-pursuant-to-a-public-health-order","status":"publish","type":"post","link":"https:\/\/sites.sandiego.edu\/cpil-blog\/2021\/02\/12\/office-of-administrative-law-approves-department-of-managed-healthcares-proposed-emergency-regulation-regarding-transfer-of-enrollees-pursuant-to-a-public-health-order\/","title":{"rendered":"Office of Administrative Law Approves Department of Managed Healthcare\u2019s Proposed Emergency Regulation Regarding Transfer of Enrollees Pursuant to a Public Health Order"},"content":{"rendered":"

By Alex Ruf<\/h3>\n

On January 12, 2021, the Department of Managed Healthcare (DMHC) published a notice of emergency rulemaking action<\/a> with respect to its intent to adopt section 1300.67.02, Title 28 of the California Code of Regulations (CCR), pertaining to the transfer of enrollees due to COVID-19. DMHC\u2019s finding of emergency<\/a> includes a \u201cnon-delay statement,\u201d in which the Director explained that COVID-19 poses such an immediate and serious harm that delaying action to allow public comment would be inconsistent with the public interest. According to DMHC, the emergency regulation is necessary because of COVID-19\u2019s large impact on California and its hospitals, and \u201cany delay in the promulgation of this regulation w[ould] exacerbate the already dire situation within the California hospital system.\u201d The finding of emergency emphasized that \u201cthis emergency regulation is crucial to ensure hospitals are able to handle the influx of patients.\u201d<\/p>\n

The final text<\/a> details the public health order and explains the requirements in place for when a health care facility transfers an enrollee. The regulation now mandates that the enrollee\u2019s health plan cannot require prior authorization or prior notice that would delay or prevent the transfer of the enrollee, and that the health plan must reimburse the receiving facility for the medically necessary services provided to the enrollee for the first 72 hours that they are treated at the receiving facility.<\/p>\n

On January 6, 2021, Sarah Ream, Chief Counsel for DMHC, had issued an All Plan Letter<\/a> informing health plans of their obligations to continue to cover emergency services even if an enrollee is transferred.<\/p>\n

On January 15, 2021, the Office of Administrative Law (OAL) approved<\/a> DMHC\u2019s proposed emergency regulation. The regulation is set to expire on November 13, 2021.<\/p>\n\"Facebook\"<\/a>\"twitter\"<\/a>","protected":false},"excerpt":{"rendered":"

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 →<\/span><\/a><\/p>\n","protected":false},"author":1013,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[132906,134367],"tags":[127655,132908,134368,137138,137139,132883,132860],"coauthors":[132864],"class_list":["post-388","post","type-post","status-publish","format-standard","hentry","category-department-of-managed-health-care","category-rulemaking-department-of-managed-health-care","tag-covid-19","tag-dmhc","tag-emergency","tag-health-care-facility","tag-hospital","tag-regulation","tag-rulemaking"],"yoast_head":"\nOffice of Administrative Law Approves Department of Managed Healthcare\u2019s Proposed Emergency Regulation Regarding Transfer of Enrollees Pursuant to a Public Health Order - Consumer Protection Policy Center - Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/sites.sandiego.edu\/cpil-blog\/2021\/02\/12\/office-of-administrative-law-approves-department-of-managed-healthcares-proposed-emergency-regulation-regarding-transfer-of-enrollees-pursuant-to-a-public-health-order\/\" class=\"yoast-seo-meta-tag\" \/>\n<meta property=\"og:locale\" content=\"en_US\" class=\"yoast-seo-meta-tag\" \/>\n<meta property=\"og:type\" content=\"article\" class=\"yoast-seo-meta-tag\" \/>\n<meta property=\"og:title\" content=\"Office of Administrative Law Approves Department of Managed Healthcare\u2019s Proposed Emergency Regulation Regarding Transfer of Enrollees Pursuant to a Public Health Order - Consumer Protection Policy Center - Blog\" class=\"yoast-seo-meta-tag\" \/>\n<meta property=\"og:description\" content=\"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 →\" class=\"yoast-seo-meta-tag\" \/>\n<meta property=\"og:url\" content=\"https:\/\/sites.sandiego.edu\/cpil-blog\/2021\/02\/12\/office-of-administrative-law-approves-department-of-managed-healthcares-proposed-emergency-regulation-regarding-transfer-of-enrollees-pursuant-to-a-public-health-order\/\" class=\"yoast-seo-meta-tag\" \/>\n<meta property=\"og:site_name\" content=\"Consumer Protection Policy Center - Blog\" class=\"yoast-seo-meta-tag\" \/>\n<meta property=\"article:published_time\" content=\"2021-02-12T16:29:56+00:00\" class=\"yoast-seo-meta-tag\" \/>\n<meta property=\"article:modified_time\" content=\"2021-02-15T16:42:42+00:00\" class=\"yoast-seo-meta-tag\" \/>\n<meta name=\"author\" content=\"Katie Gonzalez\" class=\"yoast-seo-meta-tag\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" class=\"yoast-seo-meta-tag\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" class=\"yoast-seo-meta-tag\" \/>\n\t<meta name=\"twitter:data1\" content=\"Katie Gonzalez\" class=\"yoast-seo-meta-tag\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" class=\"yoast-seo-meta-tag\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" class=\"yoast-seo-meta-tag\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/sites.sandiego.edu\/cpil-blog\/2021\/02\/12\/office-of-administrative-law-approves-department-of-managed-healthcares-proposed-emergency-regulation-regarding-transfer-of-enrollees-pursuant-to-a-public-health-order\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/sites.sandiego.edu\/cpil-blog\/2021\/02\/12\/office-of-administrative-law-approves-department-of-managed-healthcares-proposed-emergency-regulation-regarding-transfer-of-enrollees-pursuant-to-a-public-health-order\/\"},\"author\":{\"name\":\"Katie Gonzalez\",\"@id\":\"https:\/\/sites.sandiego.edu\/cpil-blog\/#\/schema\/person\/fdc87a266320b80c7a790bdc2a17df69\"},\"headline\":\"Office of Administrative Law Approves Department of Managed Healthcare\u2019s Proposed Emergency Regulation Regarding Transfer of Enrollees Pursuant to a Public Health Order\",\"datePublished\":\"2021-02-12T16:29:56+00:00\",\"dateModified\":\"2021-02-15T16:42:42+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/sites.sandiego.edu\/cpil-blog\/2021\/02\/12\/office-of-administrative-law-approves-department-of-managed-healthcares-proposed-emergency-regulation-regarding-transfer-of-enrollees-pursuant-to-a-public-health-order\/\"},\"wordCount\":300,\"commentCount\":0,\"keywords\":[\"COVID-19\",\"DMHC\",\"emergency\",\"health care facility\",\"hospital\",\"regulation\",\"Rulemaking\"],\"articleSection\":[\"Department of Managed Health Care\",\"Rulemaking\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/sites.sandiego.edu\/cpil-blog\/2021\/02\/12\/office-of-administrative-law-approves-department-of-managed-healthcares-proposed-emergency-regulation-regarding-transfer-of-enrollees-pursuant-to-a-public-health-order\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/sites.sandiego.edu\/cpil-blog\/2021\/02\/12\/office-of-administrative-law-approves-department-of-managed-healthcares-proposed-emergency-regulation-regarding-transfer-of-enrollees-pursuant-to-a-public-health-order\/\",\"url\":\"https:\/\/sites.sandiego.edu\/cpil-blog\/2021\/02\/12\/office-of-administrative-law-approves-department-of-managed-healthcares-proposed-emergency-regulation-regarding-transfer-of-enrollees-pursuant-to-a-public-health-order\/\",\"name\":\"Office of Administrative Law Approves Department of Managed Healthcare\u2019s Proposed Emergency Regulation Regarding Transfer of Enrollees Pursuant to a Public Health Order - Consumer Protection Policy Center - Blog\",\"isPartOf\":{\"@id\":\"https:\/\/sites.sandiego.edu\/cpil-blog\/#website\"},\"datePublished\":\"2021-02-12T16:29:56+00:00\",\"dateModified\":\"2021-02-15T16:42:42+00:00\",\"author\":{\"@id\":\"https:\/\/sites.sandiego.edu\/cpil-blog\/#\/schema\/person\/fdc87a266320b80c7a790bdc2a17df69\"},\"breadcrumb\":{\"@id\":\"https:\/\/sites.sandiego.edu\/cpil-blog\/2021\/02\/12\/office-of-administrative-law-approves-department-of-managed-healthcares-proposed-emergency-regulation-regarding-transfer-of-enrollees-pursuant-to-a-public-health-order\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/sites.sandiego.edu\/cpil-blog\/2021\/02\/12\/office-of-administrative-law-approves-department-of-managed-healthcares-proposed-emergency-regulation-regarding-transfer-of-enrollees-pursuant-to-a-public-health-order\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/sites.sandiego.edu\/cpil-blog\/2021\/02\/12\/office-of-administrative-law-approves-department-of-managed-healthcares-proposed-emergency-regulation-regarding-transfer-of-enrollees-pursuant-to-a-public-health-order\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/sites.sandiego.edu\/cpil-blog\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Office of Administrative Law Approves Department of Managed Healthcare\u2019s Proposed Emergency Regulation Regarding Transfer of Enrollees Pursuant to a Public Health Order\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/sites.sandiego.edu\/cpil-blog\/#website\",\"url\":\"https:\/\/sites.sandiego.edu\/cpil-blog\/\",\"name\":\"Consumer Protection Policy Center - Blog\",\"description\":\"We work to protect and advance a reality where every citizen is protected by a government that is ethical, accountable, and transparent.\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/sites.sandiego.edu\/cpil-blog\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/sites.sandiego.edu\/cpil-blog\/#\/schema\/person\/fdc87a266320b80c7a790bdc2a17df69\",\"name\":\"Katie Gonzalez\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"\/\/www.gravatar.com\/avatar\/367bf8ae36ed938af8637f2b96d85412?s=96&r=g&d=mmc97f81d333fa3b469936c6ead32ef1d5\",\"url\":\"\/\/www.gravatar.com\/avatar\/367bf8ae36ed938af8637f2b96d85412?s=96&r=g&d=mm\",\"contentUrl\":\"\/\/www.gravatar.com\/avatar\/367bf8ae36ed938af8637f2b96d85412?s=96&r=g&d=mm\",\"caption\":\"Katie Gonzalez\"},\"url\":\"https:\/\/sites.sandiego.edu\/cpil-blog\/author\/katie-gonzalez_gonzalez\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Office of Administrative Law Approves Department of Managed Healthcare\u2019s Proposed Emergency Regulation Regarding Transfer of Enrollees Pursuant to a Public Health Order - Consumer Protection Policy Center - Blog","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/sites.sandiego.edu\/cpil-blog\/2021\/02\/12\/office-of-administrative-law-approves-department-of-managed-healthcares-proposed-emergency-regulation-regarding-transfer-of-enrollees-pursuant-to-a-public-health-order\/","og_locale":"en_US","og_type":"article","og_title":"Office of Administrative Law Approves Department of Managed Healthcare\u2019s Proposed Emergency Regulation Regarding Transfer of Enrollees Pursuant to a Public Health Order - Consumer Protection Policy Center - Blog","og_description":"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 →","og_url":"https:\/\/sites.sandiego.edu\/cpil-blog\/2021\/02\/12\/office-of-administrative-law-approves-department-of-managed-healthcares-proposed-emergency-regulation-regarding-transfer-of-enrollees-pursuant-to-a-public-health-order\/","og_site_name":"Consumer Protection Policy Center - Blog","article_published_time":"2021-02-12T16:29:56+00:00","article_modified_time":"2021-02-15T16:42:42+00:00","author":"Katie Gonzalez","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Katie Gonzalez","Est. reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/sites.sandiego.edu\/cpil-blog\/2021\/02\/12\/office-of-administrative-law-approves-department-of-managed-healthcares-proposed-emergency-regulation-regarding-transfer-of-enrollees-pursuant-to-a-public-health-order\/#article","isPartOf":{"@id":"https:\/\/sites.sandiego.edu\/cpil-blog\/2021\/02\/12\/office-of-administrative-law-approves-department-of-managed-healthcares-proposed-emergency-regulation-regarding-transfer-of-enrollees-pursuant-to-a-public-health-order\/"},"author":{"name":"Katie Gonzalez","@id":"https:\/\/sites.sandiego.edu\/cpil-blog\/#\/schema\/person\/fdc87a266320b80c7a790bdc2a17df69"},"headline":"Office of Administrative Law Approves Department of Managed Healthcare\u2019s Proposed Emergency Regulation Regarding Transfer of Enrollees Pursuant to a Public Health Order","datePublished":"2021-02-12T16:29:56+00:00","dateModified":"2021-02-15T16:42:42+00:00","mainEntityOfPage":{"@id":"https:\/\/sites.sandiego.edu\/cpil-blog\/2021\/02\/12\/office-of-administrative-law-approves-department-of-managed-healthcares-proposed-emergency-regulation-regarding-transfer-of-enrollees-pursuant-to-a-public-health-order\/"},"wordCount":300,"commentCount":0,"keywords":["COVID-19","DMHC","emergency","health care facility","hospital","regulation","Rulemaking"],"articleSection":["Department of Managed Health Care","Rulemaking"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/sites.sandiego.edu\/cpil-blog\/2021\/02\/12\/office-of-administrative-law-approves-department-of-managed-healthcares-proposed-emergency-regulation-regarding-transfer-of-enrollees-pursuant-to-a-public-health-order\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/sites.sandiego.edu\/cpil-blog\/2021\/02\/12\/office-of-administrative-law-approves-department-of-managed-healthcares-proposed-emergency-regulation-regarding-transfer-of-enrollees-pursuant-to-a-public-health-order\/","url":"https:\/\/sites.sandiego.edu\/cpil-blog\/2021\/02\/12\/office-of-administrative-law-approves-department-of-managed-healthcares-proposed-emergency-regulation-regarding-transfer-of-enrollees-pursuant-to-a-public-health-order\/","name":"Office of Administrative Law Approves Department of Managed Healthcare\u2019s Proposed Emergency Regulation Regarding Transfer of Enrollees Pursuant to a Public Health Order - Consumer Protection Policy Center - Blog","isPartOf":{"@id":"https:\/\/sites.sandiego.edu\/cpil-blog\/#website"},"datePublished":"2021-02-12T16:29:56+00:00","dateModified":"2021-02-15T16:42:42+00:00","author":{"@id":"https:\/\/sites.sandiego.edu\/cpil-blog\/#\/schema\/person\/fdc87a266320b80c7a790bdc2a17df69"},"breadcrumb":{"@id":"https:\/\/sites.sandiego.edu\/cpil-blog\/2021\/02\/12\/office-of-administrative-law-approves-department-of-managed-healthcares-proposed-emergency-regulation-regarding-transfer-of-enrollees-pursuant-to-a-public-health-order\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/sites.sandiego.edu\/cpil-blog\/2021\/02\/12\/office-of-administrative-law-approves-department-of-managed-healthcares-proposed-emergency-regulation-regarding-transfer-of-enrollees-pursuant-to-a-public-health-order\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/sites.sandiego.edu\/cpil-blog\/2021\/02\/12\/office-of-administrative-law-approves-department-of-managed-healthcares-proposed-emergency-regulation-regarding-transfer-of-enrollees-pursuant-to-a-public-health-order\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/sites.sandiego.edu\/cpil-blog\/"},{"@type":"ListItem","position":2,"name":"Office of Administrative Law Approves Department of Managed Healthcare\u2019s Proposed Emergency Regulation Regarding Transfer of Enrollees Pursuant to a Public Health Order"}]},{"@type":"WebSite","@id":"https:\/\/sites.sandiego.edu\/cpil-blog\/#website","url":"https:\/\/sites.sandiego.edu\/cpil-blog\/","name":"Consumer Protection Policy Center - Blog","description":"We work to protect and advance a reality where every citizen is protected by a government that is ethical, accountable, and transparent.","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/sites.sandiego.edu\/cpil-blog\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Person","@id":"https:\/\/sites.sandiego.edu\/cpil-blog\/#\/schema\/person\/fdc87a266320b80c7a790bdc2a17df69","name":"Katie Gonzalez","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"\/\/www.gravatar.com\/avatar\/367bf8ae36ed938af8637f2b96d85412?s=96&r=g&d=mmc97f81d333fa3b469936c6ead32ef1d5","url":"\/\/www.gravatar.com\/avatar\/367bf8ae36ed938af8637f2b96d85412?s=96&r=g&d=mm","contentUrl":"\/\/www.gravatar.com\/avatar\/367bf8ae36ed938af8637f2b96d85412?s=96&r=g&d=mm","caption":"Katie Gonzalez"},"url":"https:\/\/sites.sandiego.edu\/cpil-blog\/author\/katie-gonzalez_gonzalez\/"}]}},"_links":{"self":[{"href":"https:\/\/sites.sandiego.edu\/cpil-blog\/wp-json\/wp\/v2\/posts\/388","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sites.sandiego.edu\/cpil-blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sites.sandiego.edu\/cpil-blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sites.sandiego.edu\/cpil-blog\/wp-json\/wp\/v2\/users\/1013"}],"replies":[{"embeddable":true,"href":"https:\/\/sites.sandiego.edu\/cpil-blog\/wp-json\/wp\/v2\/comments?post=388"}],"version-history":[{"count":2,"href":"https:\/\/sites.sandiego.edu\/cpil-blog\/wp-json\/wp\/v2\/posts\/388\/revisions"}],"predecessor-version":[{"id":390,"href":"https:\/\/sites.sandiego.edu\/cpil-blog\/wp-json\/wp\/v2\/posts\/388\/revisions\/390"}],"wp:attachment":[{"href":"https:\/\/sites.sandiego.edu\/cpil-blog\/wp-json\/wp\/v2\/media?parent=388"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sites.sandiego.edu\/cpil-blog\/wp-json\/wp\/v2\/categories?post=388"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sites.sandiego.edu\/cpil-blog\/wp-json\/wp\/v2\/tags?post=388"},{"taxonomy":"author","embeddable":true,"href":"https:\/\/sites.sandiego.edu\/cpil-blog\/wp-json\/wp\/v2\/coauthors?post=388"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}