Health Maintenance Organizations
As of July 1, 2000, the Health Plan Program and the administration of the Knox-Knee Health Plan Act of 1975, as amended by the 1999 HMO reform legislation, has transferred to the new Department of Managed Health Care.
Department of Managed Health Care California Help Center 980 9th Street, Suite 500 Sacramento, CA 95814-2725
Mailing address for complaints: California Help Center 980 Ninth Street, Suite 500 Sacramento, CA 95814-2725 (916)324-8176 (888) 466(HMO)-2219 (877) 688-9891 (TDD) (916) 225-5241 Fax www.hmohelp.ca.gov
Assistance is available 24 hours per day, 7 days a week for consumers who need assistance with their HMO. Call center staff can assist consumers with a variety of issues including (but not limited to) quality of care, prescriptions, preventative testing, and information regarding the DMHC's complaint process. A complaint form is available on the DMHC's web site.
For help filing a complaint against a PPO go to the California Office of the Patient Advocate PPO Complaints
You can also call the Department of Insurance for assistance at: 800-927-4357
Publications available: The California Patient's Guide: Your Health Care Rights and Remedies