Dmhc.ca.gov

California Department of Managed Health Care

WEBRFI No. 23MC-SA022 – Medical Survey Consultant Support (Updated with Questions & Answers) DMHC strongly encourages health plans take action to ensure stability of the …

Actived: 4 days ago

URL: https://www.dmhc.ca.gov/

Health Care in California

WEBOnce insured, consumers might have questions about their health care rights and what to do if they have an issue with their plan. To answer these questions and more, the DMHC …

Category: Health Go Health

California Department of Managed Health Care > Health …

WEBIn California, health plan members have many rights, including some new rights under health care reform. To have an appointment when you need one. There are limits on …

Category: Health Go Health

All Plan Letters

WEBAll Plan Letters provide specific guidance and information to health plans regulated by the Department of Managed Health Care. 2024. APL 24-008 – 2024 …

Category: Health Go Health

California Department of Managed Health Care > Health …

WEBGet Coverage. Covered California, was created under healthcare reform to help the uninsured and people with low to moderate incomes get health insurance.

Category: Health Go Health

California Department of Managed Health Care > Health …

WEBA definition of what is medically necessary can be found in your health plan contract, i.e., Evidence of Coverage. Basic services include doctor and hospital services. Health plans …

Category: Medical Go Health

Types of Coverage

WEBHowever, you may have health coverage available under Covered California (the California Exchange) or Medi-Cal. For more information, please contact Covered California at …

Category: Health Go Health

California Department of Managed Health Care > About Us

WEBThe Office of Enforcement represents the Department in actions to enforce the managed health care laws. The primary purpose of an enforcement action is to change plan …

Category: Health Go Health

Timely Access to Care

WEBCalifornia law requires health plans to provide timely access to care. This means that there are limits on how long you have to wait to get health care appointments and telephone …

Category: Health Go Health

California Department of Managed Health Care > Health Care in

WEBHealth plans are required to prominently display on the health plan’s internet website the specific telephone number for noncontracting providers to obtain prompt authorization …

Category: Health Go Health

Health Equity And Quality Committee

WEBThe purpose of the Committee is to make recommendations to the DMHC Director for standard health equity and quality measures, including annual benchmark standards for …

Category: Health Go Health

2024 EDITION CALIFORNIA KNOX-KEENE HEALTH CARE …

WEB2024 EDITION. CALIFORNIA KNOX-KEENE HEALTH CARE SERVICE PLAN ACT AND REGULATIONS. Statutes Include Amendments through 2023 Extra Session Ch 1 of the …

Category: Health Go Health

COVID-19 Tests, Vaccines & Treatment

WEBHealth plans. 1. regulated by the California Department of Managed Health Care (DMHC) must cover. COVID-19 tests, vaccines and treatment. 2. with no health plan prior …

Category: Health Go Health

California Department of Managed Health Care > Health Care in

WEBHeath plans must cover emergency care, even if you do not go to a hospital in your plan's network. Any emergency room must treat you until you are well enough to be moved to …

Category: Health Go Health

California Department of Managed Health Care > Health Care in

WEBSmall Employer (2 to 19 employees) Large Employer (20 or more employees) Cal-COBRA — up to 36 months. Federal COBRA — 18 or 36 months. For more information visit the …

Category: Health Go Health

Frequently Asked Questions Minimum Essential Coverage for …

WEBThe following types of health coverage qualify as Minimum Essential Coverage: • Any health plan purchased through Covered California, the state’s Health …

Category: Health Go Health