Mga Liham na Pang-administratibo at/o Pinansyal na Sanction
Bumalik sa Managed Care Monitoring
The Department of Health Care Services (DHCS) may impose administrative and financial sanctions on Medi-Cal managed care health plans (MCPs) that violate applicable California Medi-Cal and federal Medicaid laws, the Knox-Keene Health Care Services Act of 1975 (Knox-Keene Act) standards, or the terms of their MCP contracts with DHCS (the authority to impose administrative and financial sanctions can be found in All Plan Letter 23-012.
Ang mga MCP ay binibigyan ng nakasulat na abiso ng anumang ipinataw na parusa; ang (mga) abiso ay naka-post sa ibaba:
2025
Nobyembre 24
Alameda Alliance for Health
Anthem Blue Cross Partnership Plan
CalOptima
Kalusugan ng CalViva
Kalusugan ng CenCal
Alyansa para sa Kalusugan ng Central California
Health Net Community Solutions
Plano sa Kalusugan ng San Joaquin / Mountain Valley Health Plan
Inland Empire Health Plan
Plano sa Kalusugan ng Kaiser Foundation
Sistema ng Kalusugan ng Kern
LA Care Planong Pangkalusugan
Molina Healthcare ng California
Partnership Planong Pangkalusugan of California
2024
DISYEMBRE 6
Aetna Better Health ng California
Alameda Alliance for Health
Anthem Blue Cross Partnership Plan
Blue Shield of California Promise Planong Pangkalusugan
Plano sa Kalusugan at Kaayusan ng California
Kalusugan ng CalViva
Kalusugan ng CenCal
Alyansa para sa Kalusugan ng Central California
Contra Costa Planong Pangkalusugan
Health Net Community Solutions
Health Plan of San Joaquin
Inland Empire Health Plan
Kaiser Northern California
Kaiser Southern California
Sistema ng Kalusugan ng Kern
LA Care Planong Pangkalusugan
Molina Healthcare ng California
Partnership Planong Pangkalusugan of California
San Francisco Health Plan
Santa Clara Family Planong Pangkalusugan
2023
DISYEMBRE 29
Aetna Better Health ng California
Alameda Alliance for Health
Anthem Blue Cross Partnership Plan
Blue Shield of California Promise Planong Pangkalusugan
Plano sa Kalusugan at Kaayusan ng California
Kalusugan ng CalViva
Alyansa para sa Kalusugan ng Central California
Planong Pangkalusugan ng Gold Coast
Health Net Community Solutions
Health Plan of San Joaquin
Inland Empire Health Plan
Kaiser Northern California
Kaiser Southern California
Kern Health Systems
LA Care Planong Pangkalusugan
Molina Healthcare ng California
Partnership Planong Pangkalusugan of California
United Healthcare Community Plan
FEBRUARY 14
Molina Healthcare
Aetna Better Health ng California
Alameda Alliance for Health
Alyansa para sa Kalusugan ng Central California
Partnership Planong Pangkalusugan of California
Kern Health Systems
Health Plan of San Joaquin
CalOptima Health
Inland Empire Health Plan
LA Care Planong Pangkalusugan
Santa Clara Family Planong Pangkalusugan
2022
DISYEMBRE 13
- San Francisco Health Plan
- Nagkakaisang Pangangalaga sa Kalusugan
- Contra Costa Planong Pangkalusugan
- Health Net
- Planong Pangkalusugan ng San Mateo
- Plano sa Kalusugan at Kaayusan ng California
- Kalusugan ng CalViva
- Asul na Kalasag
- Planong Pangkalusugan ng Gold Coast
- Anthem Blue Cross
MARSO 4
2020
MAYO 11
2019
NOBYEMBRE 12
HULYO 15
- Contra Costa Planong Pangkalusugan
- Inland Empire Health Plan
- Molina
- San Francisco Health Plan
2018
OKTUBRE 12
2017
HULYO 19
- California Health & Wellness
- Planong Pangkalusugan ng Gold Coast
- LA Care Planong Pangkalusugan
- AIDS Healthcare Foundation
MAYO 27
ENERO 13