All Plan Letters

All Plan Letters provide specific guidance and information to health plans regulated by the Department of Managed Health Care.

2019

APL 19-022 - Governor's Proclamation of a Statewide State of Emergency (10/28/2019)

APL 19-021 - Governor's Proclamation of a State of Emergency (10/25/2019)

APL 19-020 - Guidance for Sec. 1365 Cancellation Regulations (10/21/2019)

APL 19-019 - Requirements Pursuant to SB 546 (Leno, 2015): Large Group Renewal Notice Requirements (10/14/2019)

APL 19-018 - Governor's Proclamation of a State of Emergency Due to Fires in Los Angeles and Riverside Counties (10/14/2019)

APL 19-017 - Requirements Pursuant to AB 315 Pharmacy Benefit Management (10/11/2019)

APL 19-016 - Amendment to the Risk Bearing Organization Regulations (9/6/2019)

APL 19-015 - Governor's Declarations of Emergency in Kern and San Bernardino Counties - Ridgecrest Earthquakes (7/8/2019)

APL 19-014 - Guidance Regarding General Licensure Regulation (6/14/2019)

APL 19-013 - Block Transfer Enrollee Transfer Notices (6/13/2019)

APL 19-012 - AB 72 Policy and Procedures (6/4/2019)

APL 19-011 - QIF Plan Regulatory Requirements (5/9/2019)

APL 19-010 - Introduction of a New Independent Review Organization (4/3/2019)

APL 19-009 - 2019 Annual Assessment (3/29/2019)

APL 19-008 - Timely Access Compliance Reports MY 2019 (3/8/2019)

APL 19-007 - Governor's Declarations of Emergency (2/28/2019)

APL 19-006 - Clinical Quality Improvement (2/15/2019)

APL 19-005 - Plan Year 2020 QHP and QDP Filing Requirements - REVISED (3/22/2019)

APL 19-005 - Plan Year 2020 QHP and QDP Filing Requirements (1/24/2019)

APL 19-004 - Telehealth and Teledentistry Sample Questions (1/23/2019)

APL 19-003 - SB 137 Guidance Regarding Provider Directory Annual Filings (1/14/2019)

APL 19-002 - Newly Enacted Statutes Impacting Health Plans (1/11/2019)

APL 19-001 - Health Plan Profile Webinars - REVISED (1/25/2019)

APL 19-001 - Health Plan Profile Webinars (1/11/2019)

2018

APL 18-020 - Electrical Shutdown Preparation - Friday November 30th (11/29/2018)

APL 18-019 - State of Emergency due to Fires (Butte, LA, Ventura) (11/9/2018)

APL 18-018 - 2019 SB 137 Annual Implementation (11/1/2018)

APL 18-017 - SB 546 Implementation (10/5/2018)

APL 18-016 - Communication between the Help Center and Health Plans (9/12/2018)

APL 18-015 - Requirements for Medi-Cal Health Home program (8/23/2018)

APL 18-014 - States of Emergency Due To Wild Fires (8/15/2018)

APL 18-013 - Independent Medical Review (IMR)/Complaint Form (8/1/2018)

APL 18-012 - State of Emergency Due to Fires in Riverside and Shasta Counties (7/27/2018)

APL 18-011 - SB 17 Prescription Drug Cost Requirements (7/27/2018)

APL 18-010 - Update on Plan Compliance with MHPAEA Rules (7/6/2018)

APL 18-009 - Responding to Help Center RHPIs (5/3/2018)

APL 18-008 - AB 72 Delegated Entity Report (3/23/2018)

APL 18-007 - Confidentiality of Information Submitted to Office of Plan Licensing (2/20/2018)

APL 18-006 - 2018 Annual Assessment (2/16/2018)

APL 18-005 - Administrative Services Agreement (ASA) Checklist (1/30/2018)

APL 18-004 - Unified Billing (1/26/2018)

APL 18-003 - Plan Year 2019 QHP/QDP Filing Requirements (1/19/2018)

APL 18-002 - Timely Access Compliance Reports MY 2018 (1/19/2018)

APL 18-001 - Newly Enacted Statutes Impacting Health Plan License Filings (1/5/2018)

2017

APL 17-017 - Standard for Determining Emergency (12/19/2017)

APL 17-016 - State of Emergency Due to Fires in Ventura & LA Counties (12/7/2017)

APL 17-015 - SB 137 Guidance Regarding Provider Directory Annual Filings (11/1/2017 and 1/18/2018)

APL 17-014 - SB 546 Implementation – Large Group Renewal Notice Requirements (10/30/2017)

APL 17-013 - State of Emergency Due to Northern CA Fires (10/9/2017 & 10/10/2017)

APL 17-012 - Compliance With SB 908’s Requirements (9/22/2017)

APL 17-011 - Guidance Regarding AB 72 and Notice to Enrollees (7/12/2017)

APL 17-010 - QHP Guidance Regarding Silver & Dual Rates (7/10/2017 & 7/13/2017 & 7/21/2017)

APL 17-009 - Guidance Regarding AB 72 and Notice to Enrollees (7/3/2017)

APL 17-008 - Filing EHB Worksheets (5/9/2017)

APL 17-007 - Timely Access Compliance Reports Measurement Years 2016 & 2017 (4/7/2017)

APL 17-006 - Newly Enacted Statutes and Regulations (3/2/2017)

APL 17-005 - 2018 DMHC Checklist and Attachment for QDPs (2/23/2017)

APL 17-004 - 2018 DMHC Checklist and Worksheet for QHPs (2/23/2017 & 6/20/2017)

APL 17-003 - Oroville Dam State of Emergency and Evacuations (2/13/2017)

APL 17-002 - Timely Access Compliance Reports – MY 2016 & MY 2017 (2/13/2017)

APL17-001 - Federal Summary of Benefits and Coverage Template Filing (2/7/2017)

2016

Uniform Provider Directory Standards HSC Section 1367.27(k) (12/30/2016)

SB 137 Annual Reporting (11/1/2016)

Exhibit W-13 Health Plan Provider Dispute Contacts (10/25/2016)

Exemption Order Concerning Dental Plans Mirror Requirement (10/18/2016)

SB 546 - Large Group Renewal Notices for 2017 (10/7/2016)

SB 546 Director's Letter No 8-K Revised (9/2/2016 & 9/7/2016)

Section 1367.27 EAP Compliance (8/18/2016 and 10/4/2016)

AB 248 Large Group Market Minimum Value (5/2/2016)

DMHC Provider Directory Filing and FAQs (4/15/2016)

SBX2 MCO Tax Proposal - Data Regarding CDI Affiliates (4/5/2016)

DMHC Provider Directory Checklist and Worksheet (3/16/2016)

New Independent Medical Review Application - Complaint Form Translations (2/5/2016)

2015

AB 684 Workload Data Call (12/21/2015)

New Independent Medical Review Application - Complaint Form (12/10/2015)

AB 1305 Compliance (11/16/2015)

Exemption Order Concerning Dental Plans Mirror Requirement (10/20/2015)

Rule 1300.65 Compliance (9/18/2015)

Final Implementation of MHPAEA Compliance (7/17/2015 & 8/7/2015)

2016 SBD Bronze Design & Prescription Drug End Notes (6/9/2015)

Individual and Small Group Rates (5/7/2015 and 5/29/2015)

Health and Safety Code Section 1365.5 Compliance (2/5/2015)