Need help with your Health Plan?
Call the DMHC Help Center
...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 is soliciting proposals for External Party Reviewer services to oversee the Corrective Action Plan (CAP) Process when a Risk-Bearing Organization (RBO) contracted by a health plan fails to satisfactorily meet established grading criteria. The services provided may include some or all of the following: overseeing development, implementation, and completion of the CAP Process and activities explicitly described in the California Code of Regulations, Title 28, Section 1300.75.4.8. Proposals must be received by 4:00 p.m. on September 11, 2014. More...
The California Department of Managed Health Care (DMHC) is soliciting proposals from qualified Community-Based Organizations (CBOs) capable of performing Consumer Assistance Partnership (CAP) services as specified in this RFP. The overall purpose of this RFP is to provide direct assistance to consumers with enrollment into health coverage, assist consumers with filing of complaints and appeals, and to provide consumers with educational materials and information about health coverage and health care reform. Proposals must be received by 4:00 p.m. on September 23, 2014. More...
The federal MHPAEA was enacted in 2008 to ensure parity between mental health and/or substance use disorders (MH/SUD) benefits and medical/surgical benefits covered by a health plan. On November 13, 2013 the federal government issued its final regulations to implement the MHPAEA. No later than January 1, 2015, full service health care service plan contracts that offer MH/SUD benefits must provide these benefits in compliance with the final regulations. The DMHC is working to ensure that health plans comply with the law. More …
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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