What’s happening: The California Department of Managed Health Care (DMHC) has issued All Plan Letter (APL) 25-007, which provides guidance to health care service plans on requirements for reimbursing claims for health care services with a date of receipt on or after Jan. 1, 2026.
What else to know: The updated guidance reflects the provisions of Assembly Bill 3275 (2024). This CHA-supported legislation amends Health & Safety Code provisions regarding timeliness and other requirements for the processing and reimbursement of claims, and implements enhanced consumer protection relating to grievances.
