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This is a Non-Federal dataset covered by different Terms of Use than Data.gov.

Insurance Affordability Programs Eligibility Appeals Hearing Results

Metadata Updated: November 23, 2025

This dataset includes the hearing results for eligibility appeals filed for subsidized Covered California coverage, Medi-Cal, or a combination of both eligibility determinations by year and quarter. The Department of Health Care Services (DHCS) assigns responsibility for conducting fair hearing requests (appeals) to the California Department of Social Services (CDSS). CDSS receives appeal requests, conducts hearings through their statewide network of administrative law judges, and renders decisions. CDSS provides these services to DHCS through a contract called an interagency agreement. In addition to the interagency agreement, the Delegation Order gives an Administrative Law Judge the authority to review and adopt decisions for hearings. Hearing requests (appeals) may be filed for cases involving mixed determinations, such as when household members applied for and/or had eligibility determinations made for the two programs (i.e., parents were eligible for Covered California and the child(ren) were eligible for Medi-Cal). Hearings are held when an appeal filed by an appellant for determinations that resulted in a denial, eligibility, or discontinuance of coverage. This dataset provides categories of hearing results and includes granted, granted in part, denied, or withdrawn/dismissed. This dataset is part of the public reporting requirements set forth in the California Welfare and Institutions Code 14102.5(a)(6).

Access & Use Information

Public: This dataset is intended for public access and use. Non-Federal: This dataset is covered by different Terms of Use than Data.gov. License: See this page for license information.

Downloads & Resources

Dates

Metadata Created Date August 12, 2023
Metadata Updated Date November 23, 2025

Metadata Source

Harvested from State of California

Additional Metadata

Resource Type Dataset
Metadata Created Date August 12, 2023
Metadata Updated Date November 23, 2025
Publisher California Department of Health Care Services
Maintainer
Identifier ce0fc9f6-1c09-4dd1-a16c-550e3b5b4741
Data First Published 2017-06-16T22:15:11.528801
Data Last Modified 2025-11-07T02:26:20.755285
Category Health and Human Services
Public Access Level public
Metadata Context https://project-open-data.cio.gov/v1.1/schema/catalog.jsonld
Schema Version https://project-open-data.cio.gov/v1.1/schema
Catalog Describedby https://project-open-data.cio.gov/v1.1/schema/catalog.json
Harvest Object Id bbc0b9f1-0d17-4628-a891-83936827ef52
Harvest Source Id 3ba8a0c1-5dc2-4897-940f-81922d3cf8bc
Harvest Source Title State of California
License http://www.opendefinition.org/licenses/cc-by
Source Datajson Identifier True
Source Hash 3b4885b442213983f7e3881ac07f3fc4ac28189dfff10012234f18a2ca762ef5
Source Schema Version 1.1

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