Join the California Medical Association (CMA) and the Department of Managed Health Care (DMHC) – the regulator overseeing 95% of California’s state-regulated commercial and public health plan enrollment – for a comprehensive overview of how to effectively navigate DMHC’s provider complaint process.

This webinar will walk you through the life cycle of a provider complaint, including when and how to file through DMHC’s provider complaint portal. This webinar will also cover what constitutes an unfair payment pattern and the importance of utilizing the provider complaint portal to file complaints. Additionally, we will discuss when an Independent Medical Review (IMR) may be the appropriate course of action for medical necessity denials and how to determine which regulator to file a complaint with.

Featured Presenters:

Juli Portola is the Director of Special Projects at the California Medical Association. With over 10 years of experience in the health care industry, Juli’s advocacy focuses on addressing complex issues including out-of-network billing, provider directories, network adequacy, managed care, scope of practice, and regulatory engagement. Her diverse expertise enables her to effectively support practices and champion the needs of physicians and patients alike.

Amanda Levy is the Deputy Director of Health Policy and Stakeholder Relations, where she is responsible for fostering proactive and effective relations between the DMHC and its stakeholders, while serving as primary advisor to the Director on critical issues and providing strategic planning and policy direction on emerging issues and industry trends.

Rachel Long is the Deputy Director of the DMHC Help Center’s Call Center, Provider Complaint and Information Division. Directs operations to provide timely and accurate assistance to consumers and providers and oversees the Help Center’s Data Analytics team.

Yedda Cha is a Senior Provider Complaint Analyst and Team Lead for the Provider Complaint Branch’s Intake Unit who is responsible for reviewing provider complaints against health plans by gathering all required and supporting documentation, including conducting a thorough compliance review to ensure health plans are paying providers promptly and appropriately according to the Knox Keene Health Care Service Plan Act of 1975.

Event Details:

Date: June 12, 2025

Time: 12:15pm-1:15pm

Click HERE to register. 

Registration is complimentary and open to all practices.