This website was established by AMI to provide information about the Department’s Orders, and for the submission of complaints concerning Centene and/or Magellan’s compliance with the Competition-Related Undertakings, which are available for review here. For more information on why this website was established, please see the About section of the website.

The DMHC issued Order Nos. 20210178 and 20210179, approving with Undertakings, Centene’s acquisition of Magellan in California. The following entities are subject to the Undertakings:

• Centene Corporation;
• Magellan Health, Inc.;
• Human Affairs International of California;
• Magellan Health Services of California, Inc.–Employer Services; and
• Centene’s and Magellan’s California Subsidiaries (pursuant to the Undertakings, the following health plans licensed by the Department are collectively the “California Subsidiaries”: California Health and Wellness Plan, Envolve Vision, Inc., Health Net Community Solutions, Inc., Health Net of California, Inc., Managed Health Network, WellCare of California, Inc., WellCare Prescription Insurance, Inc., Human Affairs International of California, and Magellan Health Services of California, Inc.

Undertakings 29-34 (i.e., the “Competition-Related Undertakings”) were imposed based on the recommendations of the Department’s independent expert. The Competition-Related Undertakings impose certain hold separate requirements on Centene and Magellan. Employer Services. For example, the Competition-Related Undertakings require holding Magellan’s lines of business and Centene’s lines of business separate to ensure Magellan’s lines of business are run as a separate business. As part of running Magellan’s lines of business separately from Centene’s lines of business, Centene and Magellan shall ensure that (i) proprietary information and data, (ii) commercially sensitive information and data, and (iii) confidential information and data of clients or customers of Magellan’s lines of business are not inappropriately used or accessed by Centene. See Undertaking 31. The Undertakings also state that neither Magellan’s nor Centene’s lines of business or entities are allowed to enter into contractual arrangements with behavioral health providers who provide services in California that restrict, or impose exclusivity on, those behavioral health providers’ ability to contract with other employers, insurers and health care service plans. See Undertaking 32(a). The duration of these Undertakings is 10 (ten) years from the date that the Transaction closed, which was January 4, 2022. The Department has the option in its sole discretion to extend these Undertakings for 3 (three) years. For more information on the Competition-Related Undertakings, please see the Undertakings in the Important Documents section of this website.

A complaint is an allegation that Centene or Magellan are not in compliance with one or more provisions of the Competition-Related Undertakings. The Competition-Related Undertakings can be found at the link below. [Insert link to Important Documents]. If you have a complaint regarding Centene and/or Magellan, but that complaint does not pertain to Centene and/or Magellan’s compliance with the Competition-Related Undertakings, you have other options including:

• Contacting Centene here
• Cotacting Mangellan here
• Contacting the DMHC here
• Contacting the California Attorney General's Office here

You may submit a complaint to the Monitor if you have an allegation that Centene or Magellan are not in compliance with the Competition-Related Undertakings and if you are any of the following:

• Customers and clients of Centene;
• Customers and clients of Magellan;
• Competitors of Centene or Magellan;
• Employees of Magellan;
• Employees of Centene;
• DHMC; or
• The California Attorney General.

You can submit a complaint to the Monitor through the following methods:

• Through this website
• By using the Centene/Magellan Monitoring Hotline

Yes. If you want to file a complaint anonymously, you can do so by using the Centene/Magellan Monitoring Hotline. However, by filing a complaint anonymously, the Monitor will be unable to contact you for more information that may be necessary to evaluate your complaint, or to do further investigation of your complaint.

If you want the Monitor to be able to contact you, please file your complaint through this website using the standardized complaint intake form HERE. The standardized complaint intake form will require the names, addresses, telephone numbers, and e-mail addresses of the parties referenced in the Complaint, and the representatives of the complainant filing the Complaint. Additionally, if you file a complaint that Centene and/or Magellan are not complying with the Competition-Related Undertakings, your complaint and the information included in the complaint may be shared with Centene and/or Magellan, as well as the DMHC, subject to certain confidentiality protections as described in the Monitoring Rules of Complaint Procedure. It is the responsibility of the complainant and the Parties to designate documents and other information submitted in connection with a complaint and the Monitor’s investigation as Confidential consistent with Confidentiality Agreement(s) and/or Non-Disclosure Agreements applicable to monitoring under the Undertakings. For more information about filing a complaint with the Monitor, please see the Monitoring Rules of Complaint Procedure.

Upon receipt of a complaint through this website, the Monitor will review your submission. You may be asked to provide supporting documentation, additional information, or be interviewed by the Monitor. For more information on the Monitor’s investigation process, please see the Monitoring Rules of Complaint Procedure linked below.

Important Documents

Maybe. The Monitor’s Complaint Submission Portal will provide you with a standardized complaint intake form and allow for the upload of documentation in support of the complaint allegation(s). A complaint submitted to the Monitor can be accompanied by any documents or other information supporting the complaint and the allegations of a violation of the Competition-Related Undertakings. Providing supporting documentation will assist the Monitor in assessing your complaint and with any further investigation into your complaint that may be warranted.

Most complaints about your health insurance coverage or access to health care providers are not within the authority of the Monitor to address. However, if you have a complaint that a behavioral health care provider has an exclusive arrangement with a Centene or Magellan entity in California, that could be a violation of the Undertakings and within the Monitor’s authority to address.

Maybe. If the Monitor feels that it is necessary in order to assess or investigate your complaint, the Monitor may share your complaint with Centene, Magellan, the DMHC or the California Attorney General’s Office.

To file a complaint with the DMHC or the California Attorney General’s Office, please see the Contact section of this website for contact information for the DMHC and the California Attorney General’s Office.