Home › DMHC

DMHC

News Release
10/15/2015
Posted by Carmen Balber
Santa Monica, CA – For the sixth time this year, California insurance regulators have found an Aetna rate hike to be unreasonable. Such health insurance price-gouging will continue until state regulators have the power to reject unjustified health insurance price spikes, Consumer Watchdog said today. California Department of Insurance...
News Story
10/8/2015
Posted by Mark Reback
Beleaguered insurer Blue Shield of California won state approval for its $1.2-billion acquisition of a Medicaid health plan, but the nonprofit company’s deal with regulators drew heavy criticism. The California Department of Managed Health Care said it extracted several key concessions from Blue Shield in an agreement unveiled Thursday....
News Story
4/25/2014
Posted by Mark Reback
Costly 'applied behavioral analysis' must be provided by insurers, panel says In a case that's drawn the attention of medical professionals in California, a state appellate panel this week expanded insurance coverage for a major autism treatment. In partly affirming and partly reversing a trial judge, justices with Division 3 of the...
News Story
4/25/2014
Posted by Mark Reback
(Reuters) - A California appeals court has ruled that state regulators and health insurers cannot deny coverage for an intensive autism treatment on the grounds that the therapy was not provided by a licensed physician or psychologist.   A three-judge panel on Wednesday found that, due to a recent change in California law, the treatment,...
News Release
4/24/2014
Posted by Jerry Flanagan
Santa Monica, CA - Parents of autistic children scored a major victory in a California Court of Appeal decision issued late yesterday, which now bars state regulators and health insurers from discriminating against children on the basis of whether treatment providers hold state licenses.  The state regulator’s discriminatory policy led...
News Story
4/23/2014
Posted by Mark Reback
Law360, Los Angeles (April 23, 2014, 9:42 PM ET) -- A California appeals court on Wednesday again held that the Department of Managed Health Care is required by law to direct health plans to provide coverage for autism treatment performed by certified therapists, even if they don’t have medical or psychology licenses. The appellate ruling...
Legal Update
10/11/2013
Posted by Jerry Flanagan
This week the California Court of Appeal granted Consumer Watchdog's petition for rehearing in its seminal lawsuit against the Department of Managed Health Care over treatment for autistic children. Consumer Watchdog scored a major victory in the recent decision, which bars state regulators and HMOs from discriminating against children in the...
News Story
9/17/2013
Posted by Mark Reback
The Second District Court of Appeal in Los Angeles last week ruled that the Department of Managed Health Care cannot use licensure as a basis for denial of a type of autism treatment to state employees. The ruling means better access for patients to applied behavior analysis (ABA) therapy, according to Jamie Court, president of Consumer Watchdog...
News Release
9/11/2013
Posted by Jerry Flanagan
Santa Monica, CA -- In a complex opinion issued yesterday, the California Court of Appeal ended the Department of Managed Health Care’s (DMHC) discriminatory practice of allowing HMOs to deny treatment for autistic children of state employees and low-income families enrolled in the Healthy Families program on the basis that such treatment...
News Story
8/15/2013
Posted by Mark Reback
LOS ANGELES - Two state agencies that regulate slightly different kinds of health insurance plans are taking dramatically different views on the same state law that requires mental health coverage. Appellate court justices Wednesday heard arguments in the latest step of a four-year saga over a lawsuit that seeks to require the state Department of...