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

Insurance Affordability Programs Eligibility Appeals Hearing Results

Metadata Updated: March 30, 2024

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 This dataset provides categories of hearing results and includes granted, granted in part, denied, or withdrawn/dismissed.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 License: No license information was provided.

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Metadata Created Date August 12, 2023
Metadata Updated Date March 30, 2024

Metadata Source

Harvested from State of California

Additional Metadata

Resource Type Dataset
Metadata Created Date August 12, 2023
Metadata Updated Date March 30, 2024
Publisher California Department of Health Care Services
Identifier ce0fc9f6-1c09-4dd1-a16c-550e3b5b4741
Data First Published 2017-06-16T22:15:11.528801
Data Last Modified 2024-03-06T22:33:24.063791
Category Health and Human Services
Public Access Level public
Metadata Context
Schema Version
Catalog Describedby
Harvest Object Id ef9e6205-02df-4940-a935-4d45a4cba2f4
Harvest Source Id 3ba8a0c1-5dc2-4897-940f-81922d3cf8bc
Harvest Source Title State of California
Source Datajson Identifier True
Source Hash af10cdff967c9ad50ae2942688926038abc9a094eccfd39acc2615a655370a2c
Source Schema Version 1.1

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