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...or submit an Online Complaint
Californians have the strongest patient's rights laws in the nation. DMHC’s Help Center is available to explain your health care rights and help you understand how to use your health care benefits. The Help Center can also resolve problems you may have with your health plan.
Ensuring prompt and fair payment of health care providers is critical to the stability of California's health care delivery system. The DMHC’s Provider Complaint Unit can assist California physicians; hospitals and other licensed health care providers resolve disputed claim issues with payers.
The DMHC licenses and regulates California health plans and strives to streamline the process health plans must follow to comply with the law. This section has all the information and forms plans need to ensure compliance.
The Department of Managed Health Care (DMHC) is seeking a contractor to perform actuarial services related to the grant to States for Health Insurance Premium Rate Review program, and SB 1163. Services performed by the Contractor will include, but not be limited to, performing rate review and analysis of filings, documents, and reports submitted by health plans; providing actuarial support to the DMHC on recommendations or decisions made by the DMHC about rate increases; providing training on medical/health actuarial analysis to the DMHC staff; and assisting the DMHC to enhance its premium rate review program. More...
The Department of Managed Health Care (DMHC) posted initial datasets on the California Health and Human Services (CHHS) Open Data Portal. The initial data sets include enforcement actions taken by the DMHC, Independent Medical Review (IMR) decisions, and premium rates filed with the DMHC.
CHHS launched its Open Data Portal initiative in order to increase public access to one of the State’s most valuable assets – non-confidential health and human services data. Its goals are to spark innovation, promote research and economic opportunities, engage public participation in government, increase transparency, and inform decision-making.
Visit the Open Data Portal here: https://chhs.data.ca.gov/
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Need Help? Call the DMHC Help Center at
1-888-466-2219 or send us an email
Secretary, Health & Human Services Agency
Director, Department of Managed Health Care