Thursday, August 25, 2011


Department of Managed Health Care issues statement on ruling in California Association of Health Plans vs. Lucinda Ehnes

(Sacramento) – The California Department of Managed Health care has issued a statement on a Sacramento Superior Court ruling dismissing a motion for summary judgment in California Association of Health Plans (CAHP) vs. Lucinda Ehnes. The lawsuit challenges the DMHC’s position requiring health plans to cover all medically necessary services provided by licensed medical providers acting within the scope of their licensure.

“The ruling on this motion is in the best interest of the public,” said Lynne Randolph, spokesperson for the DMHC. “It affirms the DMHC’s ability to provide consumers maximum access to medically necessary services, consistent with the law and health plan contracts. With the resolution of this phase of the case, the DMHC can now devote its full energies to making sure that health plan consumers get the care they need.”