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GENERAL INFORMATION, DEFINITION, AND …
GENERAL INFORMATION, DEFINITION, AND INSTRUCTION . If there are any differences between the reporting form instructions and the Knox-Keene Health Care Service Plan Act of 1975 (“Act”) and Title 28, California Code of
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TEXT OF PROPOSED REGULATIONS - California …
www.dmhc.ca.govTEXT OF PROPOSED REGULATIONS Subarticle 2: Risk-Bearing Organizations 1300.75.4 Definitions ... TEXT OF PROPOSED CHANGES TO THE REGULATIONS UNDER THE KNOX-KEENE HEALTH CARE SERVICE PLAN ACT OF 1975 1. Adopt Subarticle 2 (commencing with Section 1300.75.4) to Article 9 of
DEPARTMENT OF MANAGED HEALTH CARE
www.dmhc.ca.govThe California Department of Managed Health Care (DMHC) protects consumers’ health care rights and ensures a stable health care delivery system. Created by consumer-sponsored legislation in 1999, the DMHC regulates the majority of health coverage
Timely Access To Care - California Department of Managed ...
www.dmhc.ca.govTimely Access To Care The California Department of Managed Health Care protects consumers’ health care rights and ensures a stable health care delivery system.
The Affordable Care Act: No Limits on Your Health Benefits ...
www.dmhc.ca.govThe Affordable Care Act: No Limits on Your Health Benefits FACT SHEET For assistance, call the Help Center at 1-888-466-2219, email us at helpline@dmhc.ca.gov or log onto healthhelp.ca.gov. The Patient Protection and Affordable Care Act provides you and your family with new protections,
Capitated Providers
www.dmhc.ca.gov10058 Bristol Park Medical Group 2742 Dow Avenue Tustin CA 92780 ... 10137 Family Care Specialists Medical Group 955 Overland Court, 2nd floor San Dimas CA 91773 10138 Family Choice Medical Group, Inc. 7631 Wyoming Street Westminster CA 92683 Rev 6/2017 2. Capitated Providers
Overview of Risk-Sharing Arrangements
www.dmhc.ca.govdelivery of health care services for individuals participating in managed health care programs. Health & Safety Code § 1375.4. SB 260 (Speier - 1999) also created the Financial Solvency Standards Board to advise the Director ... health plans contract with a variety of health care providers on a prepaid or ... reduce, limit, or delay specific ...
Surprise Medical Bills Fact Sheet
www.dmhc.ca.govSacramento, CA 95814. 1-888-466-2219 HealthHelp.ca.gov? Surprise Medical Bills Here are some examples of when consumers have received surprise medical bills: • A consumer had a surgery at an in-network hospital or outpatient surgery center, but the anesthesiologist was not in their health plan network. Even though the consumer did not have
COVID-19 Testing Fact Sheet - California Department of ...
www.dmhc.ca.govHealth plans must cover COVID-19 diagnostic testing for all health plan enrollees by any provider at NO Cost to the enrollee. • You CAN get a COVID-19 test at no cost from any provider at any time (in- or out- of your health plan’s network).
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