DMHC Applies to Update California’s Benchmark Plan, Expand Essential Health Benefits to Include Fertility Services, Hearing Aids & Wheelchairs
May 5, 2025
The DMHC today submitted an application to the federal Centers for Medicare & Medicaid Services (CMS) on behalf of the state to update California’s benchmark plan.
Read May 5, 2025 Press Release
DMHC Fines Blue Cross of California Partnership Plan, Inc. $550,000 for Delaying Medically Necessary Care
May 2, 2025
The DMHC took enforcement action today, including a $550,000 fine, against Blue Cross of California Partnership Plan, Inc. for failing to timely implement an Independent Medical Review (IMR) determination, delaying a health plan member’s medically necessary treatment.
Read May 2, 2025 Press Release
DMHC Fines Kaiser Permanente $819,500 for Failing to Quickly Handle Member Complaints
April 25, 2025
The DMHC fined Kaiser Foundation Health Plan, Inc. (Kaiser Permanente) $819,500 for failing to handle health plan member complaints, also called grievances or appeals, in a timely manner.
Read April 25, 2025 Press Release
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May 22, 2025 - DMHC Fines Blue Shield of California $300,000 for Mishandling Claims Payments for Medical Care
May 12, 2025 - DMHC Fines Anthem Blue Cross $750,000 for Sending Thousands of Denial Letters with Wrong Information
May 5, 2025 - DMHC Applies to Update California’s Benchmark Plan, Expand Essential Health Benefits to Include Fertility Services, Hearing Aids & Wheelchairs
May 2, 2025 - DMHC Fines Blue Cross of California Partnership Plan, Inc. $550,000 for Delaying Medically Necessary Care
April 25, 2025 - DMHC Fines Kaiser Permanente $819,500 for Failing to Quickly Handle Member Complaints
January 23, 2025 - DMHC Issues Annual Drug Pricing Report in Continued Commitment to Transparent & Affordable Health Care
January 14, 2025 - DMHC Resource Guide 2025 Wildfires
January 9, 2025 - DMHC Directs Health Plans to Help Wildfire Impacted Members Access Health Care Services, Prescriptions
December 16, 2024 - DMHC Fines Anthem Blue Cross $3.5 Million for Mishandling Member Complaints
November 22, 2024 - DMHC Fines Blue Cross of California $500,000 for Failing to Acknowledge Complaints, Impacting a Member’s Cancer Care
November 8, 2024 - DMHC Fines Spring Health Plan $1 Million for Operating Without a State License While Offering Employee Assistance Programs
October 21, 2024 - DMHC Monitoring Access to Behavioral Health Care Services at Kaiser Permanente During Strike
October 8, 2024 - California Announces Settlement Agreements with L.A. Care Health Plan
September 27, 2024 - DMHC Fines Blue Cross of California Partnership Plan, Anthem Blue Cross $8.5 Million for Mishandling Payment Disputes from Doctors, Hospitals & Other Providers
August 29, 2024 - DMHC Fines Blue Shield of California $250,000 for Illegally Billing Members for Contraceptive Health Care Services
August 15, 2024 - DMHC Fines Blue Cross of California $850,000 for Illegally Limiting Coverage of Gender Dysphoria Services
June 13, 2024 - DMHC-Licensed Health Plans Must Follow Law Protecting Californians from Balance Billing
February 22, 2024 - State Reaffirms Right to Contraceptive Care
January 4, 2024 - DMHC Fines Anthem Blue Cross $690,000 for Delaying Reimbursements to Providers & Members
December 26, 2023 - DMHC Reports Health Plan Prescription Drug Costs Increased by $1.3 Billion in 2022, $3.4 Billion Since 2017
December 13, 2023 - DMHC Fines Blue Shield of California $200,000 for Mishandling Provider Claims
October 12, 2023 - DMHC, Kaiser Permanente Reach Settlement Agreement to Transform Plan’s Behavioral Health Care Delivery System and Improve Behavioral Health Statewide
June 15, 2023 - DMHC Fines Kaiser Permanente $450,000 for Violating Enrollee Confidentiality
April 10, 2023 - Joint Statement from California Health & Human Services Leaders on Governor’s Announcement of an Abortion Medication Emergency Stockpile
March 30, 2023 - Joint Statement from California Health & Human Services Leaders on Affordable Care Act Federal Ruling
March 30, 2023 - DMHC Announces Transgender, Gender Diverse, or Intersex Working Group Members, First Meeting
March 27, 2023 - DMHC Fines Health Net Health Plan for Failing to Accurately Pay $1.2 Million in Provider Claims
January 22, 2023 - Joint Statement from California Health and Human Services Agency Leaders on 50th Anniversary of the Roe v. Wade Decision
January 18, 2023 - DMHC Fines L.A. Care Health Plan $300,000 for Deceptive Enrollment Tactics
December 27, 2022 - DMHC Report Shows Prescription Drug Costs Increased by $2.1 Billion Over Five Years
December 21, 2022 - DMHC Adopts Health Equity and Quality Measures for Health Plans
November 7, 2022 - DMHC-Regulated Health Plans Must Provide Access to Emergency & Urgent Care Abortion Services Out-of-State
August 15, 2022 - DMHC Monitoring Access to Services at Kaiser Permanente During Strike
June 24, 2022 - Joint Statement from California Health and Human Services Agency Leaders on Continued Access to Reproductive Health Services
June 17, 2022 - DMHC Fines Molina $1 Million in Enforcement Actions for Delaying Provider Payments
June 9, 2022 - DMHC Fines Anthem Blue Cross $1.1 Million, Requires Corrective Actions to Protect Consumers
March 4, 2022 - State Fines L.A. Care Health Plan $55 Million in Enforcement Action to Protect Consumers
February 1, 2022 - DMHC Announces Health Equity and Quality Committee Members, First Meeting
December 30, 2021 - DMHC Approves Centene’s Acquisition of Magellan with Conditions to Protect Consumers
December 27, 2021 - DMHC Report Shows Prescription Drug Costs Increased $1.5 Billion Over Four Years
January 28, 2021 - California Joins President Biden in Responding to COVID-19 Pandemic by Announcing Special Enrollment to Help People Get Insurance
January 5, 2021 - DMHC Takes Action to Ensure Health Plans Comply with California’s Mental Health and Substance Use Parity Law
December 30, 2020 - DMHC Report Shows Health Plans’ Prescription Drug Costs Increased $1 Billion since 2017
December 16, 2020 - DMHC Directs Health Plans to Remove Administrative Burdens on Hospitals During COVID-19 Surge
December 11, 2020 - DMHC Reminds Californians Approved COVID-19 Vaccines Will Be Provided at No Cost
October 28, 2020 - Blue Cross of California Partnership Plan Fined $1.2M for Failing to Authorize Medically Necessary Services
August 25, 2020 - DMHC Orders Aetna to Stop Wrongfully Denying Payment for Emergency Medical Services
July 29, 2020: California to Give Consumers More Time to Sign Up for Health Care Coverage by Extending Special Enrollment Deadline During COVID-19 Pandemic
June 23, 2020: California Extends Special-Enrollment Deadline to Give Consumers More Time to Sign Up for Health Care Coverage During COVID-19 Pandemic
March 20, 2020 - California Responds to COVID-19 Emergency by Providing Path to Coverage for Millions of Californians
March 5, 2020 - Governor Newsom, State Health Officials Announce More than 22 Million Californians Now Eligible for Free Medically Necessary COVID-19 Testing
January 10, 2020 - DMHC Report Shows Health Plans Paid More Than $400 Million Increase for Prescription Drugs in 2018
December 18, 2019 - DMHC Fines 12 Health Plans $1.9 Million for Improperly Denying Care to Enrollees
December 17, 2019 - DMHC Monitoring Access to Behavioral Health Services at Kaiser Permanente During Strike
November 8, 2019 - The DMHC Requires Orange County Doctor to Stop Balance Billing Enrollees
June 28, 2019 - DMHC Announces Members to Task Force on Pharmacy Benefit Management Reporting
June 6, 2019 - DMHC Reaches Agreement with Anthem Blue Cross to Protect Consumers