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File a Complaint
File a Complaint
Information on filing a complaint, requesting an Independent Medical Review and submitting a provider complaint
Submit an Independent Medical Review/Complaint Form
Submit a complaint or submit a request for Independent Medical Review
Independent Medical Review and Complaint Reports
Reports on Independent Medical Review outcomes, and reports on complaints and arbitration decisions
Provider Complaint Against a Plan
Submit a provider complaint
Frequently Asked Questions
Frequently asked questions for enrollees and providers
Health Care in California
Health Care in California
Helpful information on health care, health coverage, enrollee rights and how to best use your coverage
Choose the Right Plan
Information on benefits, costs and quality
Low or No-Income Options and The Uninsured
How to gain coverage through Covered California or Medi-Cal
Types of Coverage
Information on group and individual coverage
Types of Plans
Information on HMO, PPO, POS, EPO, Medi-Cal managed care and Medicare Advantage
I'm Insured, Now What?
Information on understanding and using your coverage
Get the Best Care
Information on emergency and urgent care, mental health care, prescription drugs, preventive care, pregnancy care and clinical trials
Your Health Care Rights
Information on enrollees’ rights
Resources for Health Care Providers
Prescription drug prior authorization request form and other resources for providers
Resource List
Contact information for health care-related organizations, useful terms and fact sheets
Premium Rate Review
Proposed rate increases for individual or small group health plans
Data & Research
Data & Research
Premium rate information, financial information, medical and financial survey reports, complaint reports, enforcement actions, and other information
California Public Records Act Request
Request information and documents maintained by the DMHC
Search Independent Medical Review Decisions
Database containing Independent Medical Review decisions
Archived Documents
Archived communications from the DMHC
Health Plan Dashboard
Health Plan Dashboard
View or compare health plan information. The health plan dashboard features health plan contact information, enrollment data, complaint and IMR data, enforcement actions, and financial data.
DMHC Dashboard
View aggregated data for health plans licensed by the DMHC.
Enforcement Actions
View aggregated enforcement action data.
Consumer Complaints and IMRs
View aggregated health plan complaint and Independent Medical Review data.
Financial Stability
View aggregated health plan enrollment and financial data.
Licensing & Reporting
Licensing & Reporting
Health plan licensing information and information on reporting to the DMHC
Health Plan Licensing
How to obtain a license
Filing and Reporting Process
How to file reports with the DMHC
Submit Health Plan Filings
Submit quarterly grievance reports, timely access reports, block transfer filings, and arbitration decisions
Risk Bearing Organizations
Submit risk bearing organization reports
Health Plan Compliance/Medical Survey
View health plan survey reports and technical assistance guides
View Financial Examination Reports
View health plan financial examination reports
Submit Financial Reports
Submit financial reports, financial solvency reports, claims settlement practices, Assembly Bill 72 (AB 72) and dispute resolution reports, and premium rate filings.
Qualified Dental and Health Plan Regulatory Filings
View information about Qualified Dental and Health Plan Regulatory Filings
About the DMHC
About the DMHC
Learn about the DMHC’s mission, vision and organizational structure
Laws & Regulations
The Knox-Keene Health Care Service Plan Act, regulations, administrative decisions, Director’s Letters, Legislative reports, and other information.
Strategic Plan 2015 - 2019
Learn about DMHC's Strategic Plan 2015 – 2019
Financial Solvency Standards Board
Meeting materials, board member biographies, and information on upcoming meetings
Request Information
Request information and documents maintained by the DMHC
Career Opportunities
Job openings at the DMHC
Contact Us
DMHC contact information
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Comment on draft regulations or participate in the rulemaking process
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Leadership team biographies
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Media relations contact information, press releases and recent articles
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File a Complaint
Submit an Independent Medical Review/Complaint Form
How to File a Complaint with Your Health Plan
Independent Medical Review and Complaint Reports
Provider Complaint Against a Plan
Emergency Services Independent Dispute Resolution Process
Non Emergency Services Independent Dispute Resolution Process
Submit a Provider Complaint
Frequently Asked Questions
Health Care in California
Choose the Right Plan
Low or No-Income Options and The Uninsured
Types of Coverage
Types of Plans
Keep Your Health Coverage (COBRA)
Individual Conversion Plans (HIPAA)
I'm Insured, Now What?
Get the Best Care
Care of Illness
Clinical Trials
Emergency and Urgent Care
Mental Health Care
Prescription Drugs
Preventive Care
Pregnancy Care
Your Health Care Rights
Continuity of Care
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You and Your Doctor
Referrals and Approvals
Disability Access
Disability Specialist Contact Form
Physical Access to Care - Fact Sheet
Hearing Disabilities - Fact Sheet
Hearing-Deaf - Fact Sheet
Vision - Fact Sheet
Getting Health Care Benefits and Services - Fact Sheet
Help Center Brochure
Timely Access to Care
Resources for Health Care Providers
Resource List
Useful Terms
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Premium Rate Review
What is Premium Rate Review?
Rate Review Process
Health Care Costs
Key Terms
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Premium Rate Review Filings
Data & Research
California Public Records Act Request
Search Independent Medical Review Decisions
Archived Documents
Health Plan Dashboard
DMHC Dashboard
Enforcement Actions
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Licensing & Reporting
Health Plan Licensing
Licensing Frequently Asked Questions
Summary of Benefit & Coverage (SB388)
All Plan Letters
Filing and Reporting Process
Submit Health Plan Filings
Timely Access Compliance
Timely Access Archive
Annual Provider Network Reporting
Annual Network Review Reports Archive
Quarterly Grievance Report
Block Transfer Filings
Arbitration Decisions
Language Assistance Filing Checklists
Risk Bearing Organizations
Submit RBO
RBO – Financial Report Results
RBO Frequently Asked Questions
Health Plan Compliance/Medical Survey
View Financial Examination Reports
Submit Financial Reports
Qualified Dental and Health Plan Regulatory Filings
About the DMHC
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Search Enforcement Actions
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