California Department Of Managed Health Care Enforcement Matter Number 13-052 Letter Of Agreement With OptumHealth Behavioral Solutions Of California

On February 4, 2014, the California Department of Managed Health Care's Office of Enforcement released a letter of agreement concluding its investigation of U.S. Behavioral Health Plan, California (USBHP) d/b/a OptumHealth Behavioral Solutions of California. The Department concluded that there is sufficient evidence that violations of the Knox-Keene Health Care Service Plan Act of 1975 by engaging in claims settlement practices that constitute an unfair payment pattern. The decision left standing the imposition of an administrative penalty in the amount of $20,000 and corrective action. The letter includes information on the USBHP violation and . . .