California Managed Health Care License Requirements

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Health Plan Licensing - California Department of Managed Health …

(7 days ago) California Code of Regulations (CCR) - 1300.51 to 1300.52.4; Section 1345(f)(1). This is the definition of a health care service plan, the legal entity that DMHC is authorized to license and regulate. Application for License - 1300.51; General Licensure Requirements - 1300.49; See Laws and regulations relating to … See more

https://www.dmhc.ca.gov/LicensingReporting/HealthPlanLicensing.aspx

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How the New California Department of Managed …

(Just Now) WEBThe California Department of Managed Health Care’s (DMHC) passed a new regulation, effective July 1, 2019 that expands the types of healthcare companies that must be licensed. The regulation is a response to …

https://cohenhealthcarelaw.com/2020/01/how-the-new-california-department-of-managed-health-care-regulations-affect-your-healthcare-practice/

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New DMHC Regulation Substantially Expands Number …

(1 days ago) WEBThe California Department of Managed Health Care (“DMHC”) has promulgated a new general licensure regulation (“Licensing Regulation”) that greatly expands the definition of what is considered a …

https://www.crowell.com/en/insights/client-alerts/new-dmhc-regulation-substantially-expands-number-of-entities-requiring-knox-keene-licensure

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The Who, Where, Why and What You Should Do Next with …

(9 days ago) WEBCOPE Health Solutions, a national health care advisory firm, shares their thoughts on California DMHC's latest expanded licensing and exemption requirements. Keywords: …

https://copehealthsolutions.com/wp-content/uploads/2020/01/The-Who-Where-Why-and-What-You-Should-Do-Next-with-the-California-DMHC%E2%80%99s-Expanded-Licensing-and-Exemption-Requirements.pdf

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Regulation - California Association of Health Plans

(4 days ago) WEBThe California Association of Health Plans is active in a variety of state regulatory activities. California state government agencies submit hundreds of …

https://www.calhealthplans.org/legislation/regulation/

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MEDI-CAL MANAGED CARE PLAN MODEL FACT SHEET

(3 days ago) WEBDepartment of Health Care Services (DHCS) contracts with a Medi-Cal managed care plan (MCP) that is run by a county government entity and is the sole MCP operating in the …

https://www.dhcs.ca.gov/services/Documents/MMCD/MMCD-Model-Fact-Sheet.pdf

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CALIFORNIA DEPARTMENT OF MANAGED HEALTH CARE …

(3 days ago) WEBKFHP is a health care service plan licensed under the Knox-Keene Health Care Service Plan Act of 1975, as amended (Chapter 2.2, commencing with Section 1340, of the …

https://supplier.kp.org/wp-content/uploads/2020/12/LEGAL_DOCS-1622201-CA_DMHC_Regulatory_Program_Requirements.pdf

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Changes to California’s Knox-Keene Act Potentially Impact …

(1 days ago) WEBOn July 1, a new regulation from California’s Department of Managed Health Care (DMHC) will go into effect, and will require health care providers that …

https://www.foley.com/insights/publications/2019/06/californias-knox-keene-act-health-care-providers/

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Making Sense of Managed Care Regulation in California

(8 days ago) WEBOur mission is to expand access to affordable, quality health care for underserved individuals and communities and to promote fundamental improvements in the health …

https://www.chcf.org/wp-content/uploads/2017/12/PDF-MakingSenseManagedCareRegulation.pdf

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Healthcare Providers Guide - California Department of Consumer …

(2 days ago) WEBMedical Board of California, www.mbc.ca.gov, (916) 263-2382 or (800) 633-2322. Physician assistants Physician assistants work with supervising physicians to provide …

https://www.dca.ca.gov/publications/healthcare_providers.shtml

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Cal. Code Regs. tit. 28 § 1300.76 - Casetext

(Just Now) WEBSection 1300.76 - Plan Tangible Net Equity Requirement (a) Except as provided in subsection (b), each plan licensed pursuant to the provisions of the Act …

https://casetext.com/regulation/california-code-of-regulations/title-28-managed-health-care/division-1-the-department-of-managed-health-care/chapter-2-health-care-service-plans/article-9-financial-responsibility/risk-bearing-organizations/section-130076-plan-tangible-net-equity-requirement

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Managed Care - Local Health Plans of California

(3 days ago) WEBCurrently, a total of 24 plans contract with the Department of Health Care Services (DHCS) to provide Medi-Cal managed care services to beneficiaries. Of these, …

https://www.lhpc.org/managed-care

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California Department of Managed Health Care

(9 days ago) WEBHealth plan information, help with complaints, grievances, health coverage, health insurance, denials, independent medical review, external review Skip to Main Content × …

http://www.hmohelp.ca.gov/healthplans/gen/gen_licensed.aspx

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Who Must File, When and What? - Cope Health Solutions

(6 days ago) WEBEffective July 1, 2019, the California Department of Managed Health Care (“Department” or “DMHC”) is requiring organizations under certain conditions to file their risk contracts …

https://copehealthsolutions.com/cblog/the-who-where-why-and-what-you-should-do-next-with-the-california-dmhcs-expanded-licensing-and-exemption-requirements/

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The Medicaid Managed Care Rule Is A Blockbuster Health Affairs

(6 days ago) WEBThe managed care rule’s importance can hardly be overstated. As of 2022, three-quarters of states relied on managed care as a basic element of their Medicaid …

https://www.healthaffairs.org/content/forefront/medicaid-managed-care-rule-blockbuster

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