The Regulation provides an exemption process for persons that wish to be excluded from the license application process and ongoing compliance obligations under the Knox-Keene Act. Specifically, the …

Relevant Laws. Knox-Keene Act (KKA) – Article 3. Licensing and Fees, sections 1349 to 1356.2 California Code of Regulations (CCR) – 1300.51 to 1300.52.4 Section 1345(f)(1). This is the definition of a health care service plan, the legal entity that DMHC is authorized to license and regulate.

without seeking a restricted license. If the proposed regulations are made final in their current form, ACOs and other entities that currently consider themselves outside the reach of the Knox-Keene …

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Licenses are divided into two categories: Full-Service Knox-Keene Licenses are issued to entities providing at least six basic care services, such as inpatient and home health services. specialized knox- keene license are issued to entities providing only a single …

Apr 26, 2017  · 1 Answer. A Knox-Keene license is currently granted by the California Department of Managed Health Care (DMHC) to health care service plans or specialized health care service plans. The license is issued pursuant to Section 1353 of the Knox-Keene …

Mar 13, 2013  · Knox-Keene license is the entry ticket to the Affordable Care Act. The Department of Managed health care (dmhc) regulates all Knox-Keene licenses. approximately 125 of these licenses have been issued over the previous 40 years in California. The DMHC along with the Department of Insurance are positioned to be key regulators of the ACA.

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Mar 27, 2019  · The Regulation builds on other provisions of the Knox-Keene Act by providing that “any person who assumes global risk shall obtain a license to operate a health care service plan.” Assuming “global risk” has been defined as accepting a prepaid or periodic charge from or on behalf of enrollees in return for the assumption of both …

Davis City Council Discussion of Knox-Keene Although this dramatically changes the county’s standing as a health care provider, officials have long maintained that they have no intention of using the Knox-Keene license to compete for …

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