Section § 4710

Explanation

This law requires regional centers or state-operated facilities to give a minimum of 30 days' notice before reducing, ending, or changing services in a recipient's individual program plan, unless both parties agree otherwise. This notice must be sent by their preferred method (mail or email) and must also be in their preferred language.

Notice must be given within five business days if a requested service is denied. If services are affected due to budget issues, the regional center must notify the department and provide details, including projected costs, to request funds. If a person is deemed ineligible for services, prompt notice is required. Exceptions to the advance notice apply if actions are needed for health and safety, but a notice must still be provided within 10 days.

(a)CA Welfare & Institutions Code § 4710(a) The regional center or state-operated facility shall send adequate notice, as described in subdivision (a) of Section 4701, to the recipient and, if appropriate, the authorized representative, by standard mail, certified mail, or email at their preference as indicated in their individual program plan. This notice shall be sent at least 30 days prior to either of the following actions and shall specify the effective date of the action:
(1)CA Welfare & Institutions Code § 4710(a)(1) The regional center or state-operated facility makes a decision to reduce, terminate, or change services set forth in an individual program plan, unless there is mutual consent as defined in subdivision (k) of Section 4701.
(2)CA Welfare & Institutions Code § 4710(a)(2) A recipient is determined to be no longer eligible for regional center services.
(b)CA Welfare & Institutions Code § 4710(b) The regional center or state-operated facility shall send adequate notice, as described in Section 4701, no more than five business days after it makes a decision to deny the initiation of a service or support requested for inclusion in the individual program plan unless there is mutual consent as defined in subdivision (k) of Section 4701. The notice shall be sent to the recipient and, if appropriate, the authorized representative, in their preferred language, by standard mail, certified mail, or by email at their preference as indicated in the individual program plan.
(c)CA Welfare & Institutions Code § 4710(c) If the reason for denial of services or modification of services in a recipient’s individual program plan is a lack of funds in the regional center budget, the regional center shall be the service agency responsible for giving adequate notice and participating in the appeals procedure under this chapter.
(d)Copy CA Welfare & Institutions Code § 4710(d)
(1)Copy CA Welfare & Institutions Code § 4710(d)(1) The regional center shall, within 30 days after written notice is sent to the applicant or client, notify the department in writing of the denial if a lack of funds in the regional center budget is the reason for one of the following:
(A)CA Welfare & Institutions Code § 4710(d)(1)(A) The denial of services to an applicant.
(B)CA Welfare & Institutions Code § 4710(d)(1)(B) The denial of services to a current regional center client requesting services not included in the client’s individual program plan but determined to be necessary by the interdisciplinary team.
(C)CA Welfare & Institutions Code § 4710(d)(1)(C) Denial, cutback, or termination of current services to a recipient set forth in the individual program plan.
(2)CA Welfare & Institutions Code § 4710(d)(2) The notification to the department shall include the nature of the service requested, a request that the department allocate sufficient funds to the regional center within 30 days to provide the service, the projected cost for the service for the balance of the fiscal year, and information substantiating the reason for the lack of funds to purchase the service.
(e)CA Welfare & Institutions Code § 4710(e) If a person requests regional center services and is found to be ineligible for these services, the regional center shall give adequate notice pursuant to Section 4701. Within five business days of the time limits set forth in Sections 4642 and 4643, notice shall be sent to the applicant and, if appropriate, the authorized representative, by standard mail, certified mail, or email at their preference as indicated at the time of intake.
(f)CA Welfare & Institutions Code § 4710(f) The advance notice specified in subdivision (a) shall not be required when a reduction, termination, or change in services is determined to be necessary for the health and safety of the recipient. However, adequate notice shall be given within 10 days after the regional center or state-operated facility action.
(g)CA Welfare & Institutions Code § 4710(g) This section shall become operative on March 1, 2023.

Section § 4710.5

Explanation

If you're unhappy with a decision made by a regional center or state-run facility about receiving services, you can ask for an informal meeting, mediation, or a fair hearing within 60 days of being notified about the decision. You'll need to fill out a specific appeal request form to do this.

An employee must help you with the form if you need it, and if they don't, they might face criminal charges. Once your request is submitted, an electronic copy is sent to the appropriate offices within a day. These rules have been in effect since March 1, 2023.

(a)CA Welfare & Institutions Code § 4710.5(a) Any applicant for or recipient of services, or authorized representative of the applicant or recipient, who is dissatisfied with a decision or action of the regional center or state-operated facility under this division shall, upon filing a request within 60 days after notification of that decision or action, be afforded an opportunity for an informal meeting, a mediation, and a fair hearing.
(b)CA Welfare & Institutions Code § 4710.5(b) The request for an informal meeting, mediation, or a fair hearing, or any combination thereof, shall be stated in writing on the appeal request form prescribed by the department.
(c)CA Welfare & Institutions Code § 4710.5(c) If any person makes a request for an informal meeting, mediation, or a fair hearing other than on the appeal request form, the employee of the regional center, department, or the state-operated facility who learns of the request shall provide the person with the appeal request form prescribed by the department and shall assist the person in filling out the form if the person requires or requests assistance. Any employee who willfully fails to comply with this requirement shall be guilty of a misdemeanor.
(d)CA Welfare & Institutions Code § 4710.5(d) The appeal request form shall be sent to the department unless the department has designated another agency to receive the form. The department or another agency that has been designated to receive the appeal request form shall send an electronic copy of a hearing request to the hearing office and the regional center or state-operated facility responsible for the action described in subdivision (a) within one business day of the department’s or designated agency’s receipt of the request. The department shall maintain information regarding all hearing request forms.
(e)CA Welfare & Institutions Code § 4710.5(e) This section shall become operative on March 1, 2023.

Section § 4710.6

Explanation

If someone wants an informal meeting after appealing a decision related to a regional center or state facility in California, both parties must agree on a date, time, and place within 10 days of the appeal request being received, unless more time is requested by the claimant. This meeting can be in person or via phone or video call if both agree. The chosen date, time, and place must be communicated in writing to the claimant in their preferred language. Additionally, the claimant will receive written information about their rights unless they've already been given this information before. This rule takes effect on March 1, 2023.

(a)Copy CA Welfare & Institutions Code § 4710.6(a)
(1)Copy CA Welfare & Institutions Code § 4710.6(a)(1) Upon receipt of an appeal request form requesting an informal meeting, the regional center or state-operated facility and the claimant shall determine a mutually agreed-upon date, time, and place for the meeting to be held, which shall be within 10 days of the date the department, or another agency designated by the department, receives the request, or unless the claimant requests a continuance.
(2)CA Welfare & Institutions Code § 4710.6(a)(2) A place pursuant to paragraph (1) may include an agreement of the parties to conduct the informal meeting by telephone, videoconference, or other electronic means.
(b)CA Welfare & Institutions Code § 4710.6(b) The regional center or state-operated facility shall notify the claimant and their authorized representative in writing and in their preferred language of the mutually agreed-upon date, time, and place for the informal meeting.
(c)CA Welfare & Institutions Code § 4710.6(c) A written notification of rights specified in Section 4701 shall be provided to the claimant unless the regional center or state-operated facility provided the required written notification of those rights with the notice required by Section 4710.
(d)CA Welfare & Institutions Code § 4710.6(d) This section shall become operative on March 1, 2023.

Section § 4710.7

Explanation

This law describes the process and purpose of having an informal meeting before moving to mediation or a fair hearing regarding an appeal. The meeting is intended to resolve issues beforehand and is conducted by a director or their designee at a regional center or state-operated facility. After the meeting, the decision maker must provide a written decision within five days, identifying and ruling on each issue with supporting facts and the applicable laws or policies. The decision must be in the preferred language of the applicant or recipient. This section became effective on March 1, 2023.

(a)CA Welfare & Institutions Code § 4710.7(a) The purpose of the informal meeting is to attempt to resolve the issue or issues that are the subject of the appeal request informally prior to a mediation or fair hearing.
(b)CA Welfare & Institutions Code § 4710.7(b)  The informal meeting shall be conducted by the regional center or state-operated facility director or their designee. The regional center or state-operated facility director or their designee shall notify the applicant or recipient and their authorized representative of the decision from the informal meeting in writing within five days of the meeting.
(c)CA Welfare & Institutions Code § 4710.7(c) The written decision of the regional center or state-operated facility director or their designee shall:
(1)CA Welfare & Institutions Code § 4710.7(c)(1) Identify the issues presented by the appeal.
(2)CA Welfare & Institutions Code § 4710.7(c)(2) Rule on each issue identified.
(3)CA Welfare & Institutions Code § 4710.7(c)(3) State the facts supporting each ruling.
(4)CA Welfare & Institutions Code § 4710.7(c)(4) Identify the specific laws, regulations, and policies upon which each ruling is based.
(5)CA Welfare & Institutions Code § 4710.7(c)(5) Be provided in the preferred language of the applicant or recipient, or their authorized representative.
(d)CA Welfare & Institutions Code § 4710.7(d) This section shall become operative on March 1, 2023.

Section § 4710.8

Explanation

This section explains that during an informal meeting, claimants will have specific rights as outlined in another section (Section 4701). These meetings will follow guidelines set by Section 4710.6 and must be conducted in English. However, if the claimant or their representative does not speak English, an interpreter must be provided at no cost to the claimant, with the expense covered by the regional center or state-operated facility. This rule becomes effective on March 1, 2023.

(a)CA Welfare & Institutions Code § 4710.8(a) At an informal meeting, the claimant shall have the rights stated pursuant to Section 4701.
(b)CA Welfare & Institutions Code § 4710.8(b) An informal meeting shall be held consistent with Section 4710.6.
(c)CA Welfare & Institutions Code § 4710.8(c) An informal meeting shall be conducted in the English language. However, if the preferred language of the claimant or the authorized representative is not English, an interpreter shall be provided. Any cost of an interpreter shall be borne by the regional center or state-operated facility.
(d)CA Welfare & Institutions Code § 4710.8(d) This section shall become operative on March 1, 2023.

Section § 4710.9

Explanation

After an informal meeting about a decision from a regional center or state-operated facility, if a person is happy with the outcome, they should withdraw their appeal, and the decision will take effect in 10 days. If they're not happy, they'll continue with the appeal process. The claimant has up to three days to decide whether to go to mediation or a fair hearing but can decide later, although this could waive their right to a decision within 90 days. Services during the appeal will end according to specific rules. If no action is taken within 60 days, the appeal is considered withdrawn. There is also a possibility to suggest combining cases for hearings under specific conditions.

(a)CA Welfare & Institutions Code § 4710.9(a) If, after the informal meeting, the claimant or their authorized representative is satisfied with all or part of the decision of the regional center or state-operated facility, they shall withdraw the request for an appeal on the matter or matters that have been decided to their satisfaction. The decision of the regional center or state-operated facility shall go into effect 10 days after the receipt of the full or partial withdrawal of the request for an appeal on those matters. The regional center or state-operated facility shall immediately forward a copy of the full or partial withdrawal, including a copy of the written decision, to the department and to the hearing office.
(b)CA Welfare & Institutions Code § 4710.9(b) If the claimant or their authorized representative is dissatisfied with all or part of the decision of the regional center or state-operated facility, the regional center or state-operated facility shall immediately notify the department and the hearing office that the appeal request has not been withdrawn.
(c)Copy CA Welfare & Institutions Code § 4710.9(c)
(1)Copy CA Welfare & Institutions Code § 4710.9(c)(1) If a claimant or their authorized representative has not advised the regional center or state-operated facility whether they want to proceed to a mediation or fair hearing within three days of receiving the informal meeting decision, they may do so at a later date.
(2)CA Welfare & Institutions Code § 4710.9(c)(2) A decision to proceed to a mediation or fair hearing that is made more than three days after receiving the informal meeting decision shall be considered a waiver of their Medicaid home and community-based services right to a hearing decision within 90 days of the date the original request was received by the department.
(3)CA Welfare & Institutions Code § 4710.9(c)(3) Services provided pursuant to a recipient’s individual program plan during the appeal shall end as specified in Section 4715.
(4)CA Welfare & Institutions Code § 4710.9(c)(4) Sixty days after receiving the informal meeting decision, the appeal shall be considered withdrawn if the claimant or their authorized representative has not advised the regional center or state-operated facility of their intent to proceed to a mediation or fair hearing.
(d)CA Welfare & Institutions Code § 4710.9(d) A recommendation for consolidation pursuant to Section 4712.2 to the hearing office may be made at this time.
(e)CA Welfare & Institutions Code § 4710.9(e) This section shall become operative on March 1, 2023.

Section § 4711

Explanation

If someone requests a mediation or a fair hearing, the hearing office must quickly inform both the person appealing and their representative, as well as the director of the relevant facility, about the process in their preferred language. They need to provide details like when and where the mediation or hearing will happen, which can be virtual if agreed upon. The notice also explains the parties' rights during the proceedings, the availability of advocacy help, contact details for those involved in the process, and the parties' rights and responsibilities under related sections. This law became effective on March 1, 2023.

(a)CA Welfare & Institutions Code § 4711(a) Upon receipt of an appeal request form requesting mediation or a fair hearing, the hearing office shall immediately notify the claimant and the claimant’s authorized representative, in their preferred language, and the regional center or state-operated facility director in writing of all the following information applicable to mediation and fair hearings:
(1)Copy CA Welfare & Institutions Code § 4711(a)(1)
(A)Copy CA Welfare & Institutions Code § 4711(a)(1)(A) The time, place, and date of the mediation or fair hearing, as applicable.
(B)CA Welfare & Institutions Code § 4711(a)(1)(A)(B) A place pursuant to paragraph (1) may include an agreement of the parties, or an order by a hearing officer, following a finding of good cause, to conduct the mediation or hearing by telephone, videoconference, or other electronic means.
(2)CA Welfare & Institutions Code § 4711(a)(2) The rights of the parties at the mediation or fair hearing pursuant to Section 4701 or 4711.5, as applicable.
(3)CA Welfare & Institutions Code § 4711(a)(3) The availability of advocacy assistance pursuant to paragraph (5) of subdivision (a) of Section 4701.
(4)CA Welfare & Institutions Code § 4711(a)(4) As applicable, contact information for persons or offices to conduct mediation or fair hearings, and to receive requests for continuance or consolidation.
(5)CA Welfare & Institutions Code § 4711(a)(5) The rights and responsibilities of the parties established pursuant to Sections 4711.5 and 4712.
(b)CA Welfare & Institutions Code § 4711(b) This section shall become operative on March 1, 2023.

Section § 4711.5

Explanation

This section covers the mediation process for appeals connected to certain state services. When a mediation is requested, the hearing office informs all parties about mediation details in their preferred language. The mediation happens within 30 days unless an extension is requested. If a claimant asks for more time, they agree to wait longer for a decision. Mediation is informal and non-threatening, respecting the claimant's rights. Mediators must be knowledgeable and neutral, avoiding conflicts with parties involved. They can privately discuss matters with parties to help reach an agreeable solution. If a mediator can't be impartial, they or any party can request a substitution. After the first session, any party can leave mediation and seek a fair hearing. This law is effective from March 1, 2023.

(a)CA Welfare & Institutions Code § 4711.5(a) Upon receipt of an appeal request form requesting mediation, the hearing office shall promptly notify the claimant and their authorized representative, in their preferred language, and the regional center or state-operated facility, of the information applicable to mediation.
(b)Copy CA Welfare & Institutions Code § 4711.5(b)
(1)Copy CA Welfare & Institutions Code § 4711.5(b)(1) The mediation shall be held within 30 days of the date the appeal request form is received by the department or by another agency designated by the department to receive the appeal request form, or unless a continuance is requested and granted to the claimant at the discretion of the mediator.
(2)CA Welfare & Institutions Code § 4711.5(b)(2) A continuance granted pursuant to paragraph (1) shall constitute a waiver of a Medicaid home and community-based services participant’s right to a decision within 90 days of the date the appeal request form is received by the department or by another agency designated by the department to receive the appeal request form. The extension of time for the final decision resulting from the continuance shall be only as long as the time period of the continuance.
(c)CA Welfare & Institutions Code § 4711.5(c) Mediation shall be conducted in an informal, nonadversarial manner, and shall incorporate the rights of the claimant contained in paragraph (8) of subdivision (a) of Section 4701.
(d)CA Welfare & Institutions Code § 4711.5(d) Mediators shall meet both of the following requirements:
(1)CA Welfare & Institutions Code § 4711.5(d)(1) Familiarity with the provisions of this division and implementing regulations, and familiarity with the process of reconciling differences in a nonadversarial, informal manner.
(2)CA Welfare & Institutions Code § 4711.5(d)(2) The person is not in the business of providing or supervising services provided to regional centers or to regional center applicants or recipients.
(e)CA Welfare & Institutions Code § 4711.5(e) During the course of the mediation, the mediator may meet separately with the participants to the mediation, and may speak with any party or parties confidentially in an attempt to assist the parties to reach a resolution that is acceptable to all parties.
(f)CA Welfare & Institutions Code § 4711.5(f) The mediator shall voluntarily disqualify themselves and withdraw from any case in which the mediator cannot be fair and impartial. Any party may request the disqualification of the mediator by filing an affidavit, prior to the mediation, stating the specific grounds upon which it is claimed that a fair and impartial mediation cannot be held. The issue shall be decided by the mediator.
(g)CA Welfare & Institutions Code § 4711.5(g) Either the regional center or state-operated facility or the claimant or their authorized representative may withdraw from mediation at any time after the conclusion of the first mediation session, as that time is established by the mediator, and proceed to a fair hearing, if a fair hearing has been requested by the claimant.
(h)CA Welfare & Institutions Code § 4711.5(h) This section shall become operative on March 1, 2023.

Section § 4711.7

Explanation

This law explains the process for resolving disputes through mediation in cases involving fair hearings under California's welfare and institutions code. If mediation results in a resolution or partial resolution agreed upon by both parties, the mediator documents this, and the claimant needs to withdraw any related hearing requests in writing. This resolution becomes effective ten days after the claimant agrees to it.

If mediation doesn't resolve certain issues, the claimant can request a fair hearing to address those. The mediator must inform all parties, including the hearing office and regional center, about the mediation outcome and whether the claimant wants a fair hearing. If the claimant doesn't request a hearing, the matter is paused, and their right to a timely decision is waived. The appeal is considered withdrawn if the claimant doesn't signal intent to proceed within 60 days of the mediator's notice.

Services during the appeal follow the recipient's individual program plan as outlined in another section. These rules have been operative since March 1, 2023.

(a)CA Welfare & Institutions Code § 4711.7(a) If the issue or issues involved in the mediation are resolved or partially resolved to the satisfaction of both parties, the mediator shall prepare a written resolution. Agreement of the claimant or their authorized representative to the written resolution shall be accompanied by a withdrawal or partial withdrawal, in writing, of any fair hearing request. The written resolution shall go into effect 10 days after receipt of the claimant’s agreement to the written resolution. The mediator shall promptly forward a copy of the written resolution and any full or partial withdrawal of a fair hearing request to the hearing office.
(b)CA Welfare & Institutions Code § 4711.7(b) If the mediation fails to resolve an issue or issues to the satisfaction of the claimant, or their authorized representative, the matter shall, at the claimant’s request, proceed to a fair hearing with respect to the unresolved issue or issues as provided under this chapter.
(c)CA Welfare & Institutions Code § 4711.7(c) The mediator, after the conclusion of the mediation, shall promptly notify the hearing office, department, claimant and their authorized representative, and regional center of the outcome of the mediation and whether or not the claimant wants to proceed to a fair hearing. If the claimant or their authorized representative has not indicated whether they want to proceed to a fair hearing, the matter shall be taken off the calendar and continued until the time that the claimant requests a hearing or withdraws the hearing request. The continuance shall be considered a waiver of their Medicaid home- and community-based waiver services right to a hearing decision within 90 days of the date the original request was received by the department.
(d)CA Welfare & Institutions Code § 4711.7(d) Services provided pursuant to a recipient’s individual program plan during the appeal shall end as specified in Section 4715.
(e)CA Welfare & Institutions Code § 4711.7(e) Sixty days after the mediator’s notice of the outcome of the mediation, the appeal shall be considered withdrawn if the claimant or their authorized representative has not indicated their intent to proceed to a fair hearing.
(f)CA Welfare & Institutions Code § 4711.7(f) This section shall become operative on March 1, 2023.

Section § 4712

Explanation

This section outlines the procedures for fair hearings related to services for individuals with developmental disabilities. Hearings must occur within 50 days of a request unless more time is requested and justified. Both parties can request continuances if there's good cause, such as illness or emergencies. Hearing officers must be impartial and trained in relevant law and procedures, helping claimants understand the process, especially those unfamiliar with legal settings.

Before the hearing, both parties must share their case details, including witness lists and evidence. Hearings should be convenient for the claimant and can be conducted electronically if needed. Hearings aim to be fair and informative, encouraging the free exchange of information, but without strict adherence to formal evidence rules. Proceedings are recorded and can be conducted in the claimant's preferred language with an interpreter. Evaluations of hearing officers occur every two years to ensure fairness and competence. Fair hearings become operative from March 1, 2023.

(a)Copy CA Welfare & Institutions Code § 4712(a)
(1)Copy CA Welfare & Institutions Code § 4712(a)(1) The fair hearing shall be held within 50 days of the date the appeal request form is received by the department or other agency designated by the department to receive appeal request forms, unless a continuance is granted to the claimant. A claimant’s first request for a continuance made prior to the commencement of the hearing shall be granted without a showing of good cause. A claimant may request additional continuances based on a showing of good cause. A claimant’s request for a continuance shall result in a waiver of the claimant’s Medicaid home and community-based services right to a decision within 90 days of the date the appeal request form is received.
(2)CA Welfare & Institutions Code § 4712(a)(2) The regional center or state-operated facility also may request a continuance based upon a showing of good cause, provided that the granting of the continuance does not extend the time period for rendering a final administrative decision beyond the 90-day period provided for in this chapter. For purposes of this section, good cause for either party includes, but is not limited to, the following circumstances:
(A)CA Welfare & Institutions Code § 4712(a)(2)(A) Death of a spouse, parent, child, brother, sister, or grandparent of the claimant or authorized representative, or of the regional center or state-operated facility representative.
(B)CA Welfare & Institutions Code § 4712(a)(2)(B) Personal illness or injury of the claimant or authorized representative, or of the regional center or state-operated facility representative.
(C)CA Welfare & Institutions Code § 4712(a)(2)(C) Sudden and unexpected emergencies, including, but not limited to, court appearances or conflicting schedules if the conflict is beyond the control of the claimant, authorized representative, or regional center or state-operated facility representative.
(D)CA Welfare & Institutions Code § 4712(a)(2)(D) Unavailability of a witness or evidence, the absence of which would result in serious prejudice to the claimant or the regional center or state-operated facility.
(E)CA Welfare & Institutions Code § 4712(a)(2)(E) An intervening request for mediation by the claimant or the claimant’s authorized representative.
(b)Copy CA Welfare & Institutions Code § 4712(b)
(1)Copy CA Welfare & Institutions Code § 4712(b)(1) Notwithstanding Sections 19130, 19131, and 19132 of the Government Code, the department shall contract for the provision of independent hearing officers. Hearing officers shall have had at least two years of full-time legal training at a California or American Bar Association accredited law school or the equivalent in training and experience as established by regulations adopted by the department.
(2)CA Welfare & Institutions Code § 4712(b)(2) Hearing officers shall receive training and information in the law and regulations governing services to people with intellectual and developmental disabilities and administrative hearings. Training shall include, but not be limited to, the Lanterman Developmental Disabilities Services Act and regulations adopted thereunder, relevant written directives and guidance issued by the department, relevant case law, information about services and supports available to persons with developmental disabilities, including innovative services and supports, the standard agreement contract between the department and regional centers, and regional center purchase-of-service policies. The training shall include methods to create an impartial and informal hearing environment that encourages the free and open exchange of information and engages the parties to bring out relevant facts, protecting the rights of claimants at fair hearings, with emphasis on assisting, if appropriate, an unrepresented claimant, family member, authorized representative, or advocate inexperienced in administrative hearings in fully developing the administrative record. The training also shall include information about disabilities and disability-related supports that may enable participation in a hearing, and reasonable accommodations to reduce barriers.
(3)CA Welfare & Institutions Code § 4712(b)(3) The department and the hearing office shall seek the advice of stakeholders, including recipients and family members representing diverse disabilities and backgrounds, the State Council on Developmental Disabilities, the protection and advocacy agency identified in Division 4.7 (commencing with Section 4900) and designated by the Governor in this state to fulfill the requirements and assurances of the federal Developmental Disabilities Assistance and Bill of Rights Act of 2000, contained in Chapter 144 (commencing with Section 15001) of Title 42 of the United States Code, the Association of Regional Center Agencies, advocacy organizations, and other state agencies or organizations in the development of standardized hearing procedures for hearing officers and training materials and the implementation of training procedures by the department. The department shall provide formal training for hearing officers on at least an annual basis.
(c)CA Welfare & Institutions Code § 4712(c) The hearing officer shall not be an employee, agent, board member, or contractor of the regional center or state-operated facility against whose action the appeal has been filed, or a spouse, parent, child, brother, sister, grandparent, legal guardian, or conservator of the claimant, or any person who has a direct financial interest in the outcome of the fair hearing, or any other interest that would preclude a fair and impartial hearing.
(d)Copy CA Welfare & Institutions Code § 4712(d)
(1)Copy CA Welfare & Institutions Code § 4712(d)(1) The regional center or state-operated facility shall prepare a position statement and send it electronically to the hearing office and the claimant, unless the claimant has communicated an alternative way to receive the document, at least two business days prior to the hearing. The position statement shall summarize the facts of the case and set forth the justification of the regional center’s or state-operated facility’s action and shall include a list of witnesses that it intends to call during the hearing, the general subject of the testimony of each witness, and copies of all documentary evidence that it intends to use.
(A)CA Welfare & Institutions Code § 4712(d)(1)(A) If the preferred language of the claimant or their authorized representative is not English, the regional center also shall provide a copy of the position statement in their preferred language.
(B)CA Welfare & Institutions Code § 4712(d)(1)(B) If the regional center or state-operated facility cannot provide a copy of the position statement in the preferred language of the claimant or their authorized representative two business days prior to the hearing, the regional center or state-operated facility shall notify the claimant or their authorized representative, provide a copy of the position statement in English, and apply for a continuance of the hearing accompanied by evidence of its efforts to translate the position statement.
(C)CA Welfare & Institutions Code § 4712(d)(1)(C) The hearing officer shall, unless the claimant or their authorized representative indicates they want to proceed to hearing, continue the hearing for no more than 10 days following a determination that the regional center or state-operated facility has provided satisfactory evidence of its efforts to translate the position statement. The translated position statement shall be provided at least two business days prior to the continued hearing.
(2)CA Welfare & Institutions Code § 4712(d)(2) At least two business days prior to the hearing, a claimant who is not represented by an attorney licensed to practice law in California shall make available to the regional center or state-operated facility and the hearing office a list of intended witnesses and a brief description of their relationship to the claimant and copies of any professional assessments or reports related to eligibility or services that the claimant intends to use at hearing. At or before the hearing, the claimant also shall make available to the regional center or state-operated facility and the hearing office copies of all other intended documentary evidence.
(3)CA Welfare & Institutions Code § 4712(d)(3) If the claimant is represented by, or is, an attorney licensed to practice law in California, the claimant’s attorney shall prepare a position statement and make it available to the regional center or state-operated facility and the hearing office at least two business days prior to the hearing. The position statement shall summarize the facts of the case and set forth the justification for the claimant’s position and shall include a list of intended witnesses, the general subject of the testimony of each witness, and copies of all documentary evidence intended to be used.
(4)Copy CA Welfare & Institutions Code § 4712(d)(4)
(A)Copy CA Welfare & Institutions Code § 4712(d)(4)(A) The hearing officer may prohibit testimony of a witness or the introduction of documents that have not been disclosed. However, the hearing officer may allow introduction of documents or witness testimony in the interest of justice.
(B)CA Welfare & Institutions Code § 4712(d)(4)(A)(B) In considering an unrepresented claimant’s failure to disclose testimony or documents, the hearing officer also may consider the claimant’s understanding of the disclosure requirements, disability factors that made it difficult for the claimant to comply with the rule, and the impact of excluding testimony or documents on the hearing officer’s ability to assist the parties in bringing out relevant facts.
(e)Copy CA Welfare & Institutions Code § 4712(e)
(1)Copy CA Welfare & Institutions Code § 4712(e)(1) The fair hearing shall be held at a time and place reasonably convenient to the claimant and the authorized representative. The claimant or the authorized representative of the claimant and the regional center shall agree on the place of the fair hearing.
(2)CA Welfare & Institutions Code § 4712(e)(2) A place pursuant to paragraph (1) may include an agreement of the parties, or an order by a hearing officer, following a finding of good cause, to conduct the hearing by telephone, videoconference, or other electronic means.
(f)CA Welfare & Institutions Code § 4712(f) Merits of a pending fair hearing shall not be discussed between the hearing officer and a party outside the presence of the other party.
(g)CA Welfare & Institutions Code § 4712(g) The hearing officer shall voluntarily disqualify themselves and withdraw from any case in which the hearing officer cannot accord a fair and impartial hearing or consideration. Any party may request the disqualification of the hearing officer by filing an affidavit or making an objection on the record, prior to the taking of evidence at a hearing, stating with particularity the grounds upon which it is claimed that a fair and impartial hearing cannot be accorded. The issue shall be decided by the hearing officer and may be reviewed as part of the reconsideration process specified in Section 4713.
(h)CA Welfare & Institutions Code § 4712(h) Both parties to the fair hearing shall have the rights specified in subparagraphs (A) to (C), inclusive, of paragraph (9) of subdivision (a) of Section 4701.
(i)Copy CA Welfare & Institutions Code § 4712(i)
(1)Copy CA Welfare & Institutions Code § 4712(i)(1) The fair hearing shall be conducted in an impartial and informal manner in order to encourage the presentation of information and the free and open discussion by participants. The hearing officer shall make their best effort to fully and fairly develop the record and create an environment in which all relevant facts, both favorable and unfavorable, are brought out and to engage the parties to bring out the facts.
(2)CA Welfare & Institutions Code § 4712(i)(2) The fair hearing need not be conducted according to the technical rules of evidence and those related to witnesses. Any relevant evidence shall be admitted. Both parties shall be allowed to submit documents into evidence at the beginning of the hearing. A party shall not be required to formally authenticate any document unless the hearing officer determines the necessity to do so in the interest of justice. All testimony shall be under oath or affirmation which the hearing officer is empowered to administer.
(3)CA Welfare & Institutions Code § 4712(i)(3) The hearing officer may do any of the following during the hearing to assist in bringing out all relevant facts:
(A)CA Welfare & Institutions Code § 4712(i)(3)(A) Question a witness on the record.
(B)CA Welfare & Institutions Code § 4712(i)(3)(B) Call a witness to testify at the hearing.
(C)CA Welfare & Institutions Code § 4712(i)(3)(C) Hold the record open to allow a party to obtain necessary testimony or documentation identified by the hearing officer during the course of the fair hearing.
(j)CA Welfare & Institutions Code § 4712(j) A regional center or state-operated facility shall present its witnesses and all other evidence before the claimant presents the claimant’s case unless the parties agree otherwise or the hearing officer determines that it is appropriate for a witness to be heard out of order. This section does not alter the burden of proof.
(k)CA Welfare & Institutions Code § 4712(k) A recording shall be made of the proceedings before the hearing officer. Any cost of recording shall be borne by the hearing office.
(l)CA Welfare & Institutions Code § 4712(l) The fair hearing shall be conducted in the English language. However, if the preferred language of the claimant or authorized representative is not English, an interpreter shall be provided by the hearing office.
(m)CA Welfare & Institutions Code § 4712(m) The fair hearing shall be open to the public except at the request of the claimant or authorized representative or when personnel matters are being reviewed.
(n)CA Welfare & Institutions Code § 4712(n) The hearing office awarded the contract for independent hearing officers shall biennially conduct, or cause to be conducted, an evaluation of the hearing officers who conduct hearings under this part. The department shall approve the methodology used to conduct the evaluation. Information and data for this evaluation shall be solicited from recipients or applicants who participated in a fair hearing over the past two years, their family members or authorized representative if involved in the hearing, regional centers, and nonattorney advocates, attorneys who represented either party in a fair hearing over the past two years, and the organizations identified in paragraph (3) of subdivision (b). Regional centers shall forward copies of fair hearing decisions reviewed by the superior court to the department. The areas of evaluation shall include, but not be limited to, the hearing officers’ demeanor toward parties and witnesses, conduct of the hearing in accord with fairness and standards of due process, ability to fairly develop the record in cases in which applicants or recipients represent themselves or are represented by an advocate that does not have significant experience in fair hearings, use of legal authority, clarity of written decisions, and adherence to the requirements of subdivision (c) of Section 4712.5. The department shall be provided with a copy of the evaluation and shall use the evaluation in partial fulfillment of its evaluation of the contract for the provision of independent hearing officers. A summary of the data collected shall be made available to the public upon request, provided that the names of individual hearing officers and the names and other identifiable information about applicants and recipients shall not be disclosed.
(o)CA Welfare & Institutions Code § 4712(o) This section shall become operative on March 1, 2023.

Section § 4712.2

Explanation

This law allows multiple people or organizations with a shared legal concern to combine their appeals into one hearing, as long as it doesn't unfairly affect anyone involved or delay the process. Each individual still maintains their rights and will receive their own written decision. Requests to combine these appeals must be sent within five days of receiving notice. The process ensures each party's rights are protected and confidentiality is maintained unless they agree otherwise.

(a)CA Welfare & Institutions Code § 4712.2(a) Two or more claimants with a common complaint, or their authorized representatives, or a regional center or state-operated facility may request the consolidation of appeals involving a common question of law or fact. The hearing officer may grant the request for consolidation if the hearing officer finds that consolidation would not result in prejudice or undue inconvenience to any party, undue delay, or a violation of any claimant’s right to confidentiality unless the claimant agrees to have otherwise confidential information revealed to other claimants. Requests for consolidation shall be forwarded to the hearing officer and postmarked within five days of the receipt of the notice sent pursuant to Section 4711. The hearing officer shall notify the parties and authorized representatives, if any, of a request for consolidation and shall afford an opportunity for any written objections to be submitted.
(b)CA Welfare & Institutions Code § 4712.2(b) In all consolidated hearings, each individual claimant shall have all the rights specified in Section 4701. A separate written decision shall be issued to each claimant and respective authorized representatives.
(c)CA Welfare & Institutions Code § 4712.2(c) This section shall become operative on March 1, 2023.

Section § 4712.5

Explanation

This law outlines the process and rules for administrative hearings related to appeals under specific programs. After a fair hearing, a hearing officer has specific timeframes to issue a final or proposed decision. If there's a continuance, it may affect the timeframe for decision-making. Decisions must be written clearly, include facts and related laws, and be provided in the claimant's preferred language. The Director of Health Care Services and the Director of Developmental Services have roles in adopting or modifying decisions. Hearing officer decisions, especially those involving Medicaid programs, may be proposed before finalized by the Director. Redacted versions of these decisions must be publicly available online, ensuring transparency and accountability. This section became effective on March 1, 2023.

(a)Copy CA Welfare & Institutions Code § 4712.5(a)
(1)Copy CA Welfare & Institutions Code § 4712.5(a)(1) Within 10 business days of the concluding day of the fair hearing, but not later than 80 days following the date the appeal request form was received by the department or by another agency designated by the department to receive the appeal request form, the hearing officer shall render any final written decision delegated by subdivisions (d) and (e) and shall transmit the decision to each party, to the director of the hearing office, and the department, along with notification that this is the final administrative decision, that each party shall be bound thereby, and that either party may request a reconsideration pursuant to subdivision (b) of Section 4713 within 15 days of receiving the decision or appeal the decision to a court of competent jurisdiction within 180 days of receiving the final decision.
(2)CA Welfare & Institutions Code § 4712.5(a)(2) Within 10 days of the concluding day of the fair hearing, but not later than 60 days following the date the appeal request form was received by the department or by another agency designated by the department to receive the appeal request form, the hearing officer shall render any proposed written decision as allowed by subdivisions (d) and (e) and shall electronically transmit the decision to the applicable departments identified in subdivisions (d) and (e).
(b)CA Welfare & Institutions Code § 4712.5(b) A continuance granted to a claimant shall constitute a waiver of their Medicaid home- and community-based services right to a decision within 90 days of the date the appeal request form is received by the department or by another agency designated by the department to receive the appeal request form. The extension of time for the final decision resulting from the continuance shall be only as long as the time period of the continuance.
(c)Copy CA Welfare & Institutions Code § 4712.5(c)
(1)Copy CA Welfare & Institutions Code § 4712.5(c)(1) The hearing officer’s decision shall be in ordinary and concise language and shall contain a summary of the facts, a statement of the evidence from the proceedings that was relied upon, a decision on each of the issues presented, and an identification of the statutes, regulations, and policies supporting the decision.
(2)CA Welfare & Institutions Code § 4712.5(c)(2) If the claimant’s or their authorized representative’s preferred language is not English, the hearing office shall provide the proposed or final written decision in English and in their preferred language.
(d)Copy CA Welfare & Institutions Code § 4712.5(d)
(1)Copy CA Welfare & Institutions Code § 4712.5(d)(1) In addition to any other delegation of authority granted to the Director of Health Care Services, the director may delegate their authority to adopt final decisions under this chapter to the hearing officers described in subdivision (b) of Section 4712 to the extent deemed appropriate by the director. Any delegation shall be stated in writing.
(2)CA Welfare & Institutions Code § 4712.5(d)(2) If the decision involves an issue arising from the federal Medicaid home- and community-based services waiver program, the hearing officer’s decision shall be a proposed decision submitted to the Director of Health Care Services as the single state agency for the Medicaid program. Within 90 days following the date the appeal request form is received, the director may adopt the decision as written or decide the matter on the record. If the Director of Health Care Services does not act on the proposed decision within 90 days, the decision shall be deemed to be adopted by the Director of Health Care Services. The final decision shall be immediately transmitted to each party, along with the notice described in paragraph (1) of subdivision (a). If the decision of the Director of Health Care Services differs from the proposed decision of the hearing officer, a copy of that proposed decision shall also be served upon each party.
(3)CA Welfare & Institutions Code § 4712.5(d)(3) If the claimant’s or their authorized representative’s preferred language is not English, the final administrative hearing decision of the director and the proposed decision of the hearing officer shall be provided to that person in English and in their preferred language.
(e)Copy CA Welfare & Institutions Code § 4712.5(e)
(1)Copy CA Welfare & Institutions Code § 4712.5(e)(1) The Director of Developmental Services shall have the authority to review a hearing officer’s proposed decision or to delegate their authority to adopt final decisions to the hearing officers described in subdivision (b) of Section 4712. The authority for hearing officers to adopt final decisions may be made within specified issues or types of cases to the extent deemed appropriate by the director. Any delegation shall be stated in writing.
(2)CA Welfare & Institutions Code § 4712.5(e)(2) Within 30 days following receipt of the proposed decision, the Director of Developmental Services may adopt the proposed decision as written or decide the matter on the record, including the recording, with or without taking additional evidence. If the director does not act on the proposed decision within the 30 days, the proposed decision shall be deemed to be adopted by the director. The State Department of Developmental Services shall promptly transmit a final decision to each party, along with the notice described in paragraph (1) of subdivision (a). If the final decision of the director differs from the proposed decision of the hearing officer, a copy of the proposed decision also shall be served upon each party.
(3)CA Welfare & Institutions Code § 4712.5(e)(3) If the claimant’s or their authorized representative’s preferred language is not English, the final hearing decision of the director and the proposed decision of the hearing officer shall be provided to that person in English and in their preferred language.
(f)CA Welfare & Institutions Code § 4712.5(f) The hearing office shall collect and maintain, or cause to be collected and maintained, redacted copies, that do not include any identifiable information concerning the claimant, of all final administrative hearing decisions issued under this chapter. Hearing decisions shall be searchable by the type of service or support that was the subject of the hearing, by the month and year of issuance, and any other categories identified by the State Department of Developmental Services. The hearing office shall make available to the public on the hearing office’s internet website searchable and downloadable redacted copies of all final administrative hearing decisions. These decisions shall be available no later than 30 days after the date of the final hearing decision. The State Department of Developmental Services shall use this information in partial fulfillment of its obligation to monitor regional centers and in its evaluation of the contract for the provision of independent hearing officers.
(g)CA Welfare & Institutions Code § 4712.5(g) This section shall become operative on March 1, 2023.

Section § 4713

Explanation

If a decision isn't in the claimant's favor and they are currently receiving services, the decision won't take effect for 15 days, allowing time to request a reconsideration. During this period, services continue as usual. Parties have 15 days post-decision to request a correction for any factual, legal, or clerical mistakes.

If such a request is made, it goes to a different hearing officer within the office. The office or director can deny, modify, or schedule further proceedings, notifying involved parties the next day. Corrected decisions get served to all parties and the State Department of Developmental Services within five business days. This process started on March 1, 2023.

(a)CA Welfare & Institutions Code § 4713(a) If the final decision is unfavorable to the claimant, and the claimant has been receiving the services that have been the subject of the appeal, the decision shall not be implemented until 15 days after receipt of the final hearing decision by the claimant and the authorized representative, unless a reconsideration is requested within 15 days from the date of the final hearing decision. If a reconsideration is requested, any services shall continue as specified in Section 4715.
(b)CA Welfare & Institutions Code § 4713(b) Within 15 days of the date of the final hearing decision, a party may apply to the hearing office or to the director responsible for issuing the final decision for a correction of a mistake of fact or law, or a clerical error in the decision or in the decision of the hearing officer not to recuse themselves following a request pursuant to subdivision (g) of Section 4712. The party shall state the specific grounds on which the application is made. Notice of the application shall be given to the other parties to the proceeding and to the department. The application is not a prerequisite for seeking judicial review. The other party may file a written statement supporting or opposing the application.
(c)CA Welfare & Institutions Code § 4713(c) The hearing office shall refer the application to a hearing officer who did not write the decision for which reconsideration is requested.
(d)CA Welfare & Institutions Code § 4713(d) Within 15 days of receiving the request, the hearing office or the director responsible for issuing the decision may deny the application, grant the application and modify the decision, or grant the application and set the matter for further proceedings. If further proceedings are authorized, they shall be conducted in the same manner and subject to the same time limits as the original hearing. Within one day of its decision on the application, the hearing office shall notify the parties and the department of its decision on the application.
(e)CA Welfare & Institutions Code § 4713(e) The hearing office or the director responsible for issuing the decision shall, within five business days after correction of a mistake of fact or law or clerical error in the decision, serve a copy of the corrected decision on each party and provide a copy to the State Department of Developmental Services.
(f)CA Welfare & Institutions Code § 4713(f) This section shall become operative on March 1, 2023.

Section § 4713.5

Explanation

If a regional center has received a final decision from a hearing, they must put that decision into action within 30 days. If the decision has been reconsidered, they have 30 days after the correction to implement it. However, if there are unusual circumstances that prevent this timeline, the regional center must notify the claimant in writing, explaining the delay and providing a new implementation date.

If the claimant is unhappy with how the regional center or a state facility is following through with the decision, they can reach out to the department for help in making sure the decision is being implemented.

(a)CA Welfare & Institutions Code § 4713.5(a) The regional center shall implement the final hearing decision as soon as practical and not later than 30 days following the date of the final hearing decision, or, if a reconsideration was granted, the regional center shall implement the final corrected decision 30 days following the reconsideration, unless the regional center notifies the claimant and their authorized representative in writing, with a copy to the department, of the specific exceptional circumstances that make it impossible to implement the decision within that timeframe and provides the date when the decision will be implemented.
(b)CA Welfare & Institutions Code § 4713.5(b) The claimant or authorized representative may contact the department if they are dissatisfied with the regional center’s or the state-operated facility’s compliance with the decision. Upon notification, the department shall take appropriate actions to obtain compliance with the decision.

Section § 4714

Explanation

This section explains the process for collecting information related to appeals from regional centers or state-operated facilities. When someone submits an appeal, the department gathers details about how each case is handled, like if it was resolved before or during a meeting, the outcome, and why a request might be withdrawn. They also collect demographic data about the claimants.

The department keeps track of resolution methods, such as mediation or hearings, and records the time it takes to resolve requests. Collected data is compiled and shared in summary form on the department's website annually, ensuring privacy by not including any personal details. The rules for this data collection started on March 1, 2023.

(a)CA Welfare & Institutions Code § 4714(a) For each appeal request form submitted pursuant to Section 4710.5, the department shall collect information related to the appeal from regional centers or state-operated facilities in a manner and at times determined by the department. The information collected shall include, but is not limited to, all of the following:
(1)CA Welfare & Institutions Code § 4714(a)(1) Whether the case was resolved before an informal meeting or through an informal meeting.
(2)CA Welfare & Institutions Code § 4714(a)(2) Whether the case was withdrawn and the reason for the withdrawal.
(3)CA Welfare & Institutions Code § 4714(a)(3) Whether an informal meeting was declined.
(4)CA Welfare & Institutions Code § 4714(a)(4) The issue or issues involved in the case by issue type, as specified by the department.
(5)CA Welfare & Institutions Code § 4714(a)(5) If the case was resolved, the resolution outcome.
(6)CA Welfare & Institutions Code § 4714(a)(6) Demographic information, as identified by the department, about the claimants.
(7)CA Welfare & Institutions Code § 4714(a)(7) A copy of the written decision of the regional center director or designee or state-operated facility director or designee.
(b)CA Welfare & Institutions Code § 4714(b) For each appeal request submitted to the hearing office to conduct a mediation or a fair hearing, the department shall collect information relating to the request from the hearing office. The information provided shall include, but is not limited to, all of the following:
(1)CA Welfare & Institutions Code § 4714(b)(1) Whether the request was resolved before mediation, through mediation, through a fair hearing, through a reconsideration, or through a different means.
(2)CA Welfare & Institutions Code § 4714(b)(2) Whether the request was withdrawn and the reason for the withdrawal.
(3)CA Welfare & Institutions Code § 4714(b)(3) The issue or issues involved in the request by issue type, as specified by the department.
(4)CA Welfare & Institutions Code § 4714(b)(4) If the request was resolved, the outcome.
(5)CA Welfare & Institutions Code § 4714(b)(5) A copy of the written mediation agreement, the final administrative hearing decision, and the final reconsideration decision, as applicable.
(6)CA Welfare & Institutions Code § 4714(b)(6) The average length of time between filing and resolution of the request.
(7)CA Welfare & Institutions Code § 4714(b)(7) Demographic information, as identified by the department, about claimants.
(c)CA Welfare & Institutions Code § 4714(c) The information collected pursuant to this section shall be compiled by the department. The department shall post aggregate information on its internet website at least annually and shall notify the Legislature when the information has been posted. The names of recipients and applicants and other personally identifiable information shall not be disclosed.
(d)CA Welfare & Institutions Code § 4714(d) This section shall become operative on March 1, 2023.