San Francisco Marin Medical Society Blog

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DMHC Investigating Anthem and Blue Shield Provider Networks

The Department of Managed Health Care (DMHC) recently began conducting a “non-routine audit” of Anthem Blue Cross and Blue Shield of California to investigate the accuracy of the plans' provider directories and identify whether either plan violated any network adequacy laws.

Legislature Passes State Budget; Does Not Reverse 10% Medi-Cal Provider Rate Cuts

The California Legislature completed its work on the fiscal year 2014-15 state budget, having passed the budget bill and a number of trailer bills. SFMS is extremely disappointed the budget does not include funds to address any Medi-Cal provider rate cuts.