HMO

DMHC "Timely Access" Regulations

The Department of Managed Health Care (DMHC) promulgated “timely access” regulations that HMOs and Blue Shield and Blue Cross plans must comply with by January 17, 2011. Physicians are rightly concerned that these regulations impose unrealistic requirements for seeing patients or responding to phone calls within certain timeframes. Importantly, these regulations are imposed on health plans; DMHC cannot penalize physicians for failing to comply. However, to meet these requirements health plans will look to physicians for compliance. CMA will hold a webinar on this topic on Wednesday, February 3 from 12:15-1:15 P.M.

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