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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: March 23, 2026

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 This dataset provides categories of hearing results and includes granted, granted in part, denied, or withdrawn/dismissed.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 March 23, 2026

Metadata Source

Harvested from State of California

Additional Metadata

Resource Type Dataset
Metadata Created Date August 12, 2023
Metadata Updated Date March 23, 2026
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 2026-03-16T17:18:44.635384
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 21894630-c5a2-4d06-b89a-c4118e456851
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 18f8cf42b427ab1c04bff211d451e2ce97a1c9399f4c9dbf9b71b4317cc07585
Source Schema Version 1.1

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