California Department of Managed Health Care License Defense Attorney
The California Department of Managed Health Care licenses and regulates Health Care Service Plans and Health Plans throughout the state. All California Department of Managed Health Care licensees must adhere to the Business & Professions Code and regulations enacted by the California Department of Managed Health Care.
Licenses issued by the California Department of Managed Health Care include:
1) Health Care Service Plans License
2) Health Plans License
The California Department of Managed Health Care can initiate an investigation, issue a Citation or file an Accusation for the following acts:
1) Felony convictions
2) Misdemeanor convictions
3) Violations of the Business & Professions Code
These violations of the Business & Professions Code can trigger an Accusation:
1) Failure to establish and maintain a Department approved enrollee grievance system
2) Failure to notify parties of grievance disposition involving a serious health threat within 3 days
3) Failure to operate in accordance with organization documents filed with the Department
4) Failure to provide a clear and concise explanation of Plan’s response to enrollee’s grievance
5) Failure to provide written acknowledgment of receipt of grievance within 5 calendar days with the date of receipt and the name, address and telephone number of the plan representative who may be contacted about the grievance
6) Failure to provide written acknowledgement to subscriber within 5 days of receipt of complaint
7) Failure to resolve enrollee grievance within 30 days
8) Plan interference with the independent review process
Potential consequences of an investigation, citation or Accusation include:
1) California DMHC License suspension
2) California DMHC License revocation
3) California DMHC License probation
4) Criminal charges
5) Administrative fines
California Department of Managed Health Care licensees are often charged with criminal offenses in California:
Many California Department of Managed Health Care licensees are charged with criminal offenses in California. Law enforcement officers throughout the state investigate California DMHC licensees for criminal law violations. The California Attorney General’s Office conducts sting operations designed to catch individuals violating the law.
If you possess a California Department of Managed Health Care license and are facing an investigation or Accusation, contact the Law Offices of Seth Weinstein at (310) 707-7131.
We assist California Department of Managed Health Care licensees in applying for and defending California DMHC licenses in Alameda, Bakersfield, Beverly Hills, Chico, Concord, Contra Costa County, Cupertino, Davis, El Centro, Escondido, Eureka, Fontana, Fremont, Fresno, Hanford, Hayward, Hemet, Hollywood, Humboldt County, Imperial County, Indio, Kern County, Lancaster, Long Beach, Los Angeles, Madera, Marin County, Mendocino, Merced, Modesto, Monterey, Mountain View, Murrieta, Napa, Oakland, Oceanside, Ontario, Orange County, Oxnard, Palm Springs, Palmdale, Palo Alto, Paso Robles, Perris, Placerville, Rancho Cucamonga, Redding, Richmond, Riverside, Roseville, Sacramento, Salinas, San Bernardino, San Diego, San Francisco, San Joaquin County, San Jose, San Luis Obispo, San Mateo, Santa Barbara, Santa Clara County, Santa Clarita, Santa Cruz, Santa Maria, Santa Monica, Santa Rosa, Simi Valley, Stockton, Sunnyvale, Temecula, Thousand Oaks, Tracy, Truckee, Tulare, Turlock, Vacaville, Vallejo, Ventura County, Victorville, Visalia, Vista, Walnut Creek, West Hollywood, and Yuba City.