All Plan Letters

All Plan Letters provide specific guidance and information to health plans regulated by the Department of Managed Health Care.

2018

APL 18-017 - SB 546 Implementation (10/5/2018)

APL 18-016 - Communication between the Help Center and Health Plans (9/12/2018)

APL 18-015 - Requirements for Medi-Cal Health Home program (8/23/2018)

APL 18-014 - States of Emergency Due To Wild Fires (8/15/2018)

APL 18-013 - Independent Medical Review (IMR)/Complaint Form (8/1/2018)

APL 18-012 - State of Emergency Due to Fires in Riverside and Shasta Counties (7/27/2018)

APL 18-011 - SB 17 Prescription Drug Cost Requirements (7/27/2018)

APL 18-010 - Update on Plan Compliance with MHPAEA Rules (7/6/2018)

APL 18-009 - Responding to Help Center RHPIs (5/3/2018)

APL 18-008 - AB 72 Delegated Entity Report (3/23/2018)

APL 18-007 - Confidentiality of Information Submitted to Office of Plan Licensing (2/20/2018)

APL 18-006 - 2018 Annual Assessment (2/16/2018)

APL 18-005 - Administrative Services Agreement (ASA) Checklist (1/30/2018)

APL 18-004 - Unified Billing (1/26/2018)

APL 18-003 - Plan Year 2019 QHP/QDP Filing Requirements (1/19/2018)

APL 18-002 - Timely Access Compliance Reports MY 2018 (1/19/2018)

APL 18-001 - Newly Enacted Statutes Impacting Health Plan License Filings (1/5/2018)

2017

APL 17-017 - Standard for Determining Emergency (12/19/2017)​

APL 17-016 - State of Emergency Due to Fires in Ventura & LA Counties (12/7/2017)

APL 17-015 - SB 137 Guidance Regarding Provider Directory Annual Filings (11/1/2017 and 1/18/2018)

APL 17-014 - SB 546 Implementation – Large Group Renewal Notice Requirements (10/30/2017)

APL 17-013 - State of Emergency Due to Northern CA Fires (10/9/2017 & 10/10/2017)

APL 17-012 - Compliance With SB 908’s Requirements (9/22/2017)

APL 17-011 - Guidance Regarding AB 72 and Notice to Enrollees (7/12/2017)

APL 17-010 - QHP Guidance Regarding Silver & Dual Rates (7/10/2017 & 7/13/2017 & 7/21/2017)

APL 17-009 - Guidance Regarding AB 72 and Notice to Enrollees (7/3/2017)

APL 17-008 - Filing EHB Worksheets (5/9/2017)

APL 17-007 - Timely Access Compliance Reports Measurement Years 2016 & 2017 (4/7/2017)

APL 17-006 - Newly Enacted Statutes and Regulations (3/2/2017)

APL 17-005 - 2018 DMHC Checklist and Attachment for QDPs (2/23/2017)

APL 17-004 - 2018 DMHC Checklist and Worksheet for QHPs (2/23/2017 & 6/20/2017)

APL 17-003 - Oroville Dam State of Emergency and Evacuations (2/13/2017)

APL 17-002 - Timely Access Compliance Reports – MY 2016 & MY 2017 (2/13/2017)

APL17-001 - Federal Summary of Benefits and Coverage Template Filing (2/7/2017)

2016

Uniform Provider Directory Standards HSC Section 1367.27(k) (12/30/2016)

SB 137 Annual Reporting (11/1/2016)

Exhibit W-13 Health Plan Provider Dispute Contacts (10/25/2016)

Exemption Order Concerning Dental Plans Mirror Requirement (10/18/2016)

SB 546 - Large Group Renewal Notices for 2017 (10/7/2016)

SB 546 Director's Letter No 8-K Revised (9/2/2016 & 9/7/2016)

Section 1367.27 EAP Compliance (8/18/2016 and 10/4/2016)

AB 248 Large Group Market Minimum Value (5/2/2016)

DMHC Provider Directory Filing and FAQs (4/15/2016)

SBX2 MCO Tax Proposal - Data Regarding CDI Affiliates (4/5/2016)

DMHC Provider Directory Checklist and Worksheet (3/16/2016)

New Independent Medical Review Application - Complaint Form Translations (2/5/2016)

2015

AB 684 Workload Data Call (12/21/2015)

New Independent Medical Review Application - Complaint Form (12/10/2015)

AB 1305 Compliance (11/16/2015)

Exemption Order Concerning Dental Plans Mirror Requirement (10/20/2015)

Rule 1300.65 Compliance (9/18/2015)

Final Implementation of MHPAEA Compliance (7/17/2015 & 8/7/2015)

2016 SBD Bronze Design & Prescription Drug End Notes (6/9/2015)

Individual and Small Group Rates (5/7/2015 and 5/29/2015)

Health and Safety Code Section 1365.5 Compliance (2/5/2015)

Need Help with Your Health Plan?

Call the DMHC Help Center

1-888-466-2219

or submit an Online Complaint

Need Help with Your Health Plan?

Call the DMHC Help Center

1-888-466-2219

or submit an Independent Medical Review/Complaint Form

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