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Licensing & Reporting

All health care service plans must receive a license from the Department of Managed Health Care (DMHC) in order to operate in the state of California. To become licensed, a health care service plan must establish compliance with rules relating to health care service plan operations and businesses practices as set forth in the Knox-Keene Act. In addition, some areas of regulation require health care service plans to regularly report on operational measures to ensure ongoing compliance with the Act.  The DMHC strives to streamline the process by providing resources so you can understand how to obtain and maintain a license, as well as ways to view and submit the forms and reports you need. 

Some areas of regulation require health care service plans to regularly report on operational measures to ensure ongoing compliance with the Act.  The DMHC provides guidance and resources for the process of filing reports.