DMHC Announces Transgender, Gender Diverse, or Intersex (TGI) Health Care Quality Standards and Training Curriculum Working Group Meeting

The Department of Managed Health Care (DMHC) invites you to the TGI Working Group Meeting to be held on December 11, 2023, beginning at 1 p.m. The meeting will be conducted exclusively through videoconference and teleconference.

Members of the public may participate in the meeting by Zoom Video or find your local number: https://us02web.zoom.us/u/ksd0TG0kM, Meeting ID: 830 6513 9282 Password: 569734

For more information about this public meeting, please read the agenda or visit the TGI Working Group Webpage.

DMHC Seeks Member for Financial Solvency Standards Board

The Department of Managed Health Care (DMHC) is seeking a dynamic and solution-oriented professional to serve on the Financial Solvency Standards Board (FSSB).

For more information, please read the Board Member Solicitation and Job Description. Interested candidates must submit required documents by January 5, 2024.

RFP No. 23MC-SA018 – Risk-Bearing Organization Consulting Services (Updated with Q&A)

The Department of Managed Health Care (DMHC) is soliciting proposals from qualified entities to provide consulting services for Risk-Bearing Organizations (RBOs) to assist the DMHC in overseeing the Corrective Action Plan (CAP) process when an RBO contracted by a health plan fails to satisfactorily meet the established grading criteria. Services may include, but are not limited to, overseeing development, implementation and completion of the CAP process. The Proposal Submittal Deadline is December 15, 2023 at 4 p.m. PST. Questions & Answers and RFP 23MC-SA018 for RBO Consulting Services may be viewed and downloaded from Cal eProcure.

DMHC, Kaiser Permanente Reach $200 Million Settlement Agreement to Transform Plan's Behavioral Health Care Delivery System and Improve Behavioral Health Statewide

The DMHC announced a settlement agreement with Kaiser Foundation Health Plan, Inc. (Kaiser Permanente) to make significant changes to the plan’s delivery of behavioral health care services. The settlement agreement includes a $50 million fine and requires Kaiser Permanente to take corrective action to address deficiencies in the plan’s delivery and oversight of behavioral health care to enrollees. Kaiser Permanente has also pledged to make additional significant investments, totaling $150 million over 5 years, into programs to improve the delivery of behavioral health services for all Californians beyond Kaiser Permanente’s existing obligations to its members under the law.

The DMHC encourages health plan enrollees experiencing issues with accessing care to first contact their health plan. If the enrollee is not satisfied with their health plan's response, the DMHC Help Center can work with the enrollee and health plan to resolve the issue. The health plan enrollee can contact the DMHC Help Center at www.HealthHelp.ca.gov or 1-888-466-2219.

RFP No. 23MC-SA008 – California Health Consumer Outreach and Assistance Program (Updated with Notice of Intent to Award)

The Department of Managed Health Care (DMHC) solicited proposals from qualified entities to provide outreach and assistance services to California’s diverse health care consumers.

DMHC Notice of Intent to Award