California Managed Health Care License Requirements
Listing Websites about California Managed Health Care License Requirements
Health Plan Licensing - California Department of …
(7 days ago) California Code of Regulations (CCR) - 1300.51 to 1300.52.4; Section 1345(f)(1). This is the definition of a health care service plan, the legal entity that DMHC is authorized to license and regulate. Application for License - 1300.51; General Licensure Requirements - 1300.49; See Laws and regulations relating to … See more
https://www.dmhc.ca.gov/LicensingReporting/HealthPlanLicensing.aspx
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How the New California Department of Managed …
(Just Now) WEBThe California Department of Managed Health Care’s (DMHC) passed a new regulation, effective July 1, 2019 that expands the types of healthcare companies that must be licensed. The regulation is a response to …
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Who Must File, When and What? - Cope Health Solutions
(6 days ago) WEBEffective July 1, 2019, the California Department of Managed Health Care (“Department” or “DMHC”) is requiring organizations under certain conditions to file their risk contracts with DMHC. 1 California managed …
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Medi-Cal Managed Care Enrollment and What this …
(6 days ago) WEBMandatory managed care enrollment means that Medi-Cal beneficiaries in a voluntary or excluded from managed care enrollment aid code that are accessing the fee-for-service …
https://www.dhcs.ca.gov/services/Documents/MCQMD/OHC-and-MMCE-Fact-Sheet.pdf
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MEDI-CAL MANAGED CARE PLAN MODEL FACT …
(3 days ago) WEBDepartment of Health Care Services (DHCS) contracts with a Medi-Cal managed care plan (MCP) that is run by a county government entity and is the sole MCP operating in the …
https://www.dhcs.ca.gov/services/Documents/MMCD/MMCD-Model-Fact-Sheet.pdf
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Making Sense of Managed Care Regulation in California
(8 days ago) WEBMaking Sense of Managed Care Regulation in California. November 2001. Prepared for the California HealthCare Foundation by Debra L. Roth Deborah Reidy Kelch. 476 …
https://www.chcf.org/wp-content/uploads/2017/12/PDF-MakingSenseManagedCareRegulation.pdf
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Regulation - California Association of Health Plans
(4 days ago) WEBThe California Association of Health Plans is active in a variety of state regulatory activities. California state government agencies submit hundreds of …
https://www.calhealthplans.org/legislation/regulation/
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California Department of Managed Health Care - Wikipedia
(4 days ago) WEBThe Department of Managed Health Care (DMHC) is a regulatory body governing managed health care plans, including Health Maintenance Organizations (HMOs) and …
https://en.wikipedia.org/wiki/California_Department_of_Managed_Health_Care
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General Licensure Requirements - LII / Legal Information Institute
(5 days ago) WEB(3) "Limited health care service plan" means a person with a health care service plan license with waivers issued by the Department or its predecessor prior to January 1, …
https://www.law.cornell.edu/regulations/california/28-CCR-1300.49
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Changes to California’s Knox-Keene Act Potentially Impact …
(1 days ago) WEBOn July 1, a new regulation from California’s Department of Managed Health Care (DMHC) will go into effect, and will require health care providers that …
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Cal. Code Regs. tit. 28 § 1300.76 - Casetext
(Just Now) WEBSection 1300.76 - Plan Tangible Net Equity Requirement (a) Except as provided in subsection (b), each plan licensed pursuant to the provisions of the Act …
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California’s “Timely Access” Legislation and Requirements
(8 days ago) WEBHealth Care Plan Administrator . Howard Taekman, MD . Medical Director . California’s “Timely Access” Legislation and Requirements . The California Department of …
https://vchealthcareplan.org/providers/docs/CATimelyAccessLegislationAndRequirements.pdf
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CA DHCS Announces New MLR Requirements on Subcontractors, …
(Just Now) WEBSince 2017, DHCS has placed MLR reporting requirements on managed care plans. (Cal. Welf. & Inst. Code § 14197.2.) MLR for Medi-Cal Managed Care Plans …
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The Who, Where, Why and What You Should Do Next with …
(9 days ago) WEBCOPE Health Solutions, a national health care advisory firm, shares their thoughts on California DMHC's latest expanded licensing and exemption requirements. Keywords: …
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Department of Human Services Commonwealth of Pennsylvania
(9 days ago) WEBOverview. Our mission is to assist Pennsylvanians in leading safe, healthy, and productive lives through equitable, trauma-informed, and outcome-focused services while being an …
https://www.pa.gov/en/agencies/dhs.html
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CALAIM SKILLED NURSING FACILITY AND SUBACUTE CARE …
(1 days ago) WEBEffective January 1, 2023, Medi-Cal Managed Care Plans (MCPs) in all California counties became responsible for Skilled Nursing Facility (SNF) services and effective January 1, …
https://www.dhcs.ca.gov/Documents/MCQMD/SNF-Subacute-Resource-Guide.pdf
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