Administrative and/or Financial Sanction Letters
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The Department of Health Care Services (DHCS) may impose administrative and financial sanctions on Medi-Cal managed care health plans (MCPs) that violate applicable California Medi-Cal and federal Medicaid laws, the Knox-Keene Health Care Services Act of 1975 (Knox-Keene Act) standards, or the terms of their MCP contracts with DHCS (the authority to impose administrative and financial sanctions can be found in All Plan Letter 15-014).
MCPs are given a written notification of any imposed sanction; the notification(s) is posted below:
- L.A. Care Health Plan - March 4 2022 (PDF)
- Kaiser Permanente - January 13, 2017 (PDF)
- Kaiser Permanente - May 27, 2017 (PDF)
- California Health & Wellness - July 19, 2017 (PDF)
- Gold Coast Health Plan - July 19, 2017 (PDF)
- L.A. Care Health Plan - July 19, 2017 (PDF)
- AIDS Healthcare Foundation - July 19, 2017 (PDF)
- Health Plan of San Joaquin - October 12, 2018 (PDF)
- Health Net Community Solutions - October 12, 2018 (PDF)
- Contra Costa Health Plan Sanctions Letter - July 15, 2019 (PDF)
- Inland Empire Health Plan Sanctions Letter - July 15, 2019 (PDF)
- Molina Sanctions Letter - July 15, 2019 (PDF)
- San Francisco Health Plan Sanctions Letter - July 15, 2019 (PDF)
- Inland Empire Sanctions Letter - November 12, 2019 (PDF)
- California Health & Wellness Sanctions Letter - May 11, 2020 (PDF)
- Molina Sanctions Letter - May 11, 2020 (PDF)
- Santa Clara Family Health Plan Sanctions Letter - May 11, 2020 (PDF)
