DMHC
E634542
DMHC is California’s Department of Managed Health Care, the state agency that regulates health plans and protects consumer rights in the managed care system.
Statements (48)
| Predicate | Object |
|---|---|
| instanceOf |
health care regulatory agency
ⓘ
state government agency ⓘ |
| abbreviation | DMHC NERFINISHED ⓘ |
| country |
United States of America
ⓘ
surface form:
United States
|
| focusesOn |
health plan accountability
ⓘ
managed care consumer protection ⓘ |
| fullName | California Department of Managed Health Care NERFINISHED ⓘ |
| hasDivision |
Help Center
NERFINISHED
ⓘ
Office of Administrative Services NERFINISHED ⓘ Office of Enforcement NERFINISHED ⓘ Office of Financial Review NERFINISHED ⓘ Office of Legal Services NERFINISHED ⓘ Office of Plan Licensing NERFINISHED ⓘ Office of Plan Monitoring NERFINISHED ⓘ Office of Technology and Innovation NERFINISHED ⓘ |
| headquartersLocation |
Sacramento
ⓘ
surface form:
Sacramento, California
|
| jurisdiction |
California, United States
ⓘ
surface form:
State of California
|
| languageOfService |
English
ⓘ
Spanish ⓘ other commonly spoken languages in California ⓘ |
| legalBasis | California Health and Safety Code provisions governing health care service plans NERFINISHED ⓘ |
| mission | to protect consumers’ health care rights and ensure a stable health care delivery system ⓘ |
| offersService |
consumer complaint resolution for health plan issues
ⓘ
independent medical review for disputed health care services ⓘ multilingual consumer assistance hotline ⓘ |
| parentGovernment | California Health and Human Services Agency NERFINISHED ⓘ |
| regulates |
Health Maintenance Organizations
NERFINISHED
ⓘ
health care service plans in California ⓘ managed care health plans in California ⓘ some Preferred Provider Organization plans ⓘ |
| regulatoryAuthorityFrom | Knox-Keene Health Care Service Plan Act of 1975 NERFINISHED ⓘ |
| responsibility |
conducting financial examinations of health plans
ⓘ
conducting routine medical surveys of health plans ⓘ enforcing mental health parity requirements for regulated plans ⓘ enforcing state managed care laws ⓘ handling consumer complaints about health plans ⓘ licensing health care service plans in California ⓘ monitoring health plan financial solvency ⓘ operating an independent medical review system ⓘ overseeing network adequacy standards ⓘ overseeing timely access to care standards ⓘ providing consumer assistance and education ⓘ regulating managed care plans in California ⓘ reviewing and approving certain health plan mergers and acquisitions ⓘ reviewing health plan filings and benefits ⓘ |
| sector | health care ⓘ |
| stateAgencyOf | California NERFINISHED ⓘ |
| website | https://www.dmhc.ca.gov ⓘ |
Referenced by (1)
Full triples — surface form annotated when it differs from this entity's canonical label.