The California Department of Managed Healthcare (DMHC) recently released a full-plan letter to provide support to healthcare providers affected by the Los Angeles wildfires. The guideline requires that health plans extend the prior authorization period to 180 days to ensure that providers can continue to provide services to patients without having to resubmit applications. This move is aimed at reducing the administrative burden on providers and ensuring the continuity of medical care in the disaster-stricken areas.
In addition, the DMHC has extended the claim submission deadline to at least 365 days to allow providers more sufficient time to process claims delayed due to wildfires. If overpayment is detected in the health plan, the dispute resolution time has also been extended from the regular period to 30 working days, helping providers solve financial problems more flexibly. These measures are aimed at alleviating the impact of disasters on the medical system.
Recently, the Los Angeles wildfire has had a severe impact on local infrastructure and medical services. Although the Los Angeles Municipal Utility Company stated that there is no evidence for the time being that the power line caused the fire, the post-disaster recovery work is still ongoing. The new regulations of the DMHC provide crucial support for healthcare providers to ensure that affected patients can continuously access the necessary medical services.
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