Insurance Affordability Programs Eligibility Appeals Hearing Results
type: Dataset
description: 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 This dataset provides categories of hearing results and includes granted, granted in part, denied, or withdrawn/dismissed.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).
issued: 2017-06-16T22:15:11.528801
modified: 2022-06-13T19:18:37.894360
contact point: Organization
  fn: Medi-Cal Eligibility Division / Program Review Branch / Data Analytics Section
keyword: abx
keyword: abx1-1
keyword: amerigeo
keyword: amerigeoss
keyword: california-department-of-health-care-services
keyword: california-eligibility-and-enrollment-report
keyword: ckan
keyword: covered-ca
keyword: covered-ca-qhp-eligibility
keyword: covered-california-appeals
keyword: covered-california-coverage
keyword: dhcs
keyword: eligibility-hearing-results
keyword: eligibility-hearings
keyword: fair-hearing
keyword: geo
keyword: geoss
keyword: hearing-medi-cal-hearing
keyword: hearings
keyword: iap
keyword: insurance-affordability-programs
keyword: medi-cal
keyword: medi-cal-appeals
keyword: medi-cal-eligibility
keyword: medi-cal-fair-hearing
keyword: national
keyword: north-america
keyword: qualified-health-plan
keyword: qualified-health-plan-appeals
keyword: united-states
theme: {"Health and Human Services"}

Insurance Affordability Programs Eligibility Appeals Hearing Results (CSV)
type: Distribution
description: 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).
format: CSV
issued: 2022-06-23T00:45:12.883521
modified: 2025-11-20T03:51:40.175990
access URL: https://data.chhs.ca.gov/dataset/d1a3fb8f-946c-4a4e-b502-2da2c32e42c9/resource/5ee55373-028d-46ef-b3e5-8adbeaa4c871/download/6.2-hearing-results_q1_2022_odp.csv
media type: text/csv

All resource data
type: Distribution
description: insurance-affordability-programs-eligibility-appeals-hearing-results-hhjpov.zip
format: ZIP
issued: 2022-06-23T00:45:12.883531
modified: 2025-11-20T03:51:40.176808
access URL: https://data.chhs.ca.gov/dataset/d1a3fb8f-946c-4a4e-b502-2da2c32e42c9/resource/94e01980-c11d-4f27-aa92-5b0746f12f34/download/insurance-affordability-programs-eligibility-appeals-hearing-results-hhjpov…
media type: application/zip

data-dictionary-hearing-results
type: Distribution
description: 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(6).
format: DOC
issued: 2022-06-23T00:45:12.883527
modified: 2025-11-20T03:51:40.176407
access URL: https://data.chhs.ca.gov/dataset/d1a3fb8f-946c-4a4e-b502-2da2c32e42c9/resource/e4f4b86e-171a-4dd7-8a60-5e641468c4ae/download/data-dictionary-med-hearing-results.docx
media type: application/vnd.openxmlformats-officedocument.wordprocessingml.document

US Migrating
type: Agent