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CALIFORNIA DEPARTMENT OF MANAGED HEALTH CARE - HMO HELP CENTER , CALIFORNIA DEPARTMENT OF MANAGED HEALTH CARE

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• Description: Assists consumers with health care issues and ensures that managed care patients receive the medical care and services to which they are entitled. Grievance/Complaint Process: Before filing an Independent Medical Review (IMR)/Complaint with the DMHC, individuals are first required to File a Grievance/Complaint with Their Health Plan. If an individual's health problem is urgent, or if they already filed a complaint and are not satisfied with their health plan's decision, they can contact the Help Center at the Department of Managed Health Care (DMHC). An urgent problem is a serious threat to someone's health. Consumers can also file a complaint if their HMO does not make a decision within 30 days.The Help Center can help with complaints and provide individuals with an Independent Medical Review (IMR) if they qualify.
• Website: https://www.dmhc.ca.gov/
• Email: helpline@dmhc.ca.gov
• Phone(s): (877) 688-9891, (916) 255-5241, (888) 466-2219
• Hours: Office: Monday through Friday 8 am - 6 pm
• Eligibility: Residents of California.
• Requirements: No documents required.
• Areas Served:
  • United States
• Categories:
  • Managed Health Care Information
  • State Government Agencies/Departments
  • Health Maintenance Organization Complaints
  • Government Consumer Protection Agencies
• Contacts:

Location(s)

Location Name: CALIFORNIA DEPARTMENT OF MANAGED HEALTH CARE - HMO HELP CENTER

• Accessibility: Fully accessible to individuals using mobility aids.
• Physical Address: 980 Ninth Street, Suite 600, Sacramento, CA, 95814