(a)CA 福利和机构 Code § 4701(a) “充分通知”是指使用部门规定的格式发出的书面通知。该通知应使用通俗易懂、清晰明了且非专业术语的语言。该通知应以接收通知的接收人或申请人偏好的语言提供,并在适当情况下,以其授权代表偏好的语言提供。该通知应按照第4710条的规定,发送给接收人或申请人,并在适当情况下,发送给其授权代表。该通知应提供以下信息:
(1)CA 福利和机构 Code § 4701(a)(1) 区域中心或州营机构拟采取的行动,包括区域中心或州营机构所依据的事实陈述。
(2)CA 福利和机构 Code § 4701(a)(2) 采取该行动的原因。
(3)CA 福利和机构 Code § 4701(a)(3) 该行动的生效日期。
(4)CA 福利和机构 Code § 4701(a)(4) 支持该行动的法律、法规或政策的具体条款。
(5)CA 福利和机构 Code § 4701(a)(5) 关于可获得倡导援助的信息,包括转介至第4433条和第4433.5条中规定的客户权利倡导者、州发展性残疾委员会、公共资助的法律服务组织以及其他倡导组织,包括根据《2000年发展性残疾援助和权利法案》(42 U.S.C. Sec. 6000 et seq.)要求指定为保护和倡导系统的机构,以及第4.7分部(自第4900条起)规定的机构。
(6)CA 福利和机构 Code § 4701(a)(6) 一份声明,说明接收人是否是医疗补助居家和社区服务豁免计划的参与者。
(7)CA 福利和机构 Code § 4701(a)(7) 关于如何向部门提出上诉的信息,除非部门已指定其他机构接收上诉请求,以及部门的联系方式。
(8)CA 福利和机构 Code § 4701(a)(8) 关于在上诉程序所有阶段均可享有的以下权利的信息:
(A)CA 福利和机构 Code § 4701(a)(8)(A) 有权由口译员以申请人或接收人偏好的语言提供口译,并在适当情况下,以授权代表偏好的语言提供口译。
(B)CA 福利和机构 Code § 4701(a)(8)(B) 查阅记录的权利,包括根据第5条(自第4725条起)规定,保存在个人区域中心或州营机构档案中的所有记录。
(9)CA 福利和机构 Code § 4701(a)(9) 如果请求举行公正听证会,关于以下权利的信息:
(A)CA 福利和机构 Code § 4701(a)(9)(A) 有机会出席并参与所有程序,并提交书面和口头证据。
(B)CA 福利和机构 Code § 4701(a)(9)(B) 有机会盘问证人。
(C)CA 福利和机构 Code § 4701(a)(9)(C) 有权亲自与自己选择的律师或其他代表一同出庭。
(D)CA 福利和机构 Code § 4701(a)(9)(D) 公正听证会应在部门收到听证请求表之日起90天内完成并作出最终行政决定,除非公正听证请求已被撤回或根据本章规定延长了时限。
(E)CA 福利和机构 Code § 4701(a)(9)(E) 有权通过提交宣誓书或在记录中提出异议,要求取消听证官的资格,具体如第4712条(g)款所规定。本分段要求的信息应最迟于2022年10月1日包含在本段要求的通知中。
(10)CA 福利和机构 Code § 4701(a)(10) 关于上诉程序和时间表的信息,包括在上诉程序期间何时继续提供现有服务,以及申诉人何时可以请求延期。
(11)Copy CA 福利和机构 Code § 4701(a)(11)
(A)Copy CA 福利和机构 Code § 4701(a)(11)(A) 个人是否符合区域中心拟采取行动的豁免或例外条件,具体如第4648条(a)款(6)项(D)分项、第4648.35条(d)款、第4659条(d)款、第4689条(i)款以及第4689.05条(a)款和(d)款、政府法典第95004条(b)款以及政府法典第95020条(e)款(3)项所规定。
(B)CA 福利和机构 Code § 4701(a)(11)(A)(B) 支持上述任何豁免或例外的具体法律。
(b)CA 福利和机构 Code § 4701(b) “Appeal request form” means a form prescribed by the department that includes the name, address, contact information, and birth date of the claimant, date of the appeal request, the name of the regional center that provides services to the claimant or where an applicant has applied for services, the reason an appeal is requested, and the name, address, and relationship to the claimant of the authorized representative, if any. The appeal request form shall also indicate whether the claimant or their authorized representative is requesting an informal meeting, a mediation, or a fair hearing, or any combination of these options. A copy of the appointment of the authorized
representative, by the claimant or the State Council on Developmental Disabilities if any, shall also be included. The form shall provide information about how to file an appeal and contact information for filing the appeal request form with the department unless the department has designated a different agency to receive the form.
(c)CA 福利和机构 Code § 4701(c) “Applicant” means a person who has applied for services from a regional center, or on whose behalf services have been applied for.
(d)Copy CA 福利和机构 Code § 4701(d)
(1)Copy CA 福利和机构 Code § 4701(d)(1) “Authorized representative” means any conservator, or legal guardian, parent, or person having legal custody of a minor claimant, who acts for or represents the claimant or a person or agency appointed pursuant to subdivision (a) of Section 4541 or subdivision (d) of Section 4705 and authorized in writing by the claimant or by the legal guardian, conservator, or parent or person having legal
custody of a minor claimant to act for or represent the claimant under this chapter.
(2)CA 福利和机构 Code § 4701(d)(2) “Authorized representative” also means any responsible adult appointed by a court order made pursuant to subdivision (j) of Section 319, subdivision (a) of Section 361, or subdivision (b) of Section 726 who the court determines is an appropriate representative for the minor, and who does not have a conflict of interest, as defined in subdivision (i) of Section 7579.5 of the Government Code, including, but not limited to, a foster parent, caregiver, or court-appointed special advocate.
(e)CA 福利和机构 Code § 4701(e) “Business days” means any day other than a Saturday, Sunday, or any other day that is an observed state or federal holiday.
(f)CA 福利和机构 Code § 4701(f) “Claimant” means an applicant for or recipient of services who has filed an appeal.
(g)CA 福利和机构 Code § 4701(g) “Days” means calendar days.
(h)CA 福利和机构 Code § 4701(h) “Hearing office” means the state agency that the department has designated to provide mediation and administrative hearing services.
(i)CA 福利和机构 Code § 4701(i) “Interpreter” means an individual who is able to interpret effectively, accurately, and impartially, both receptively and expressively.
(j)CA 福利和机构 Code § 4701(j) “Medicaid home and community-based services waiver participant” means an individual deemed eligible and receiving services through a Medicaid home and community-based services waiver program.
(k)CA 福利和机构 Code § 4701(k) “Mutual consent” means that the recipient or, if appropriate, their authorized representative, agrees with a regional center’s or state operated facility’s proposal to reduce, terminate, or
change the services specified in an individual program plan or to deny the initiation of a service or support requested for inclusion in the individual program plan and that agreement is affirmatively documented, subsequent to the regional center’s proposal or denial, in a signed individual program plan, a signed list of services pursuant to subdivision (g) of Section 4646, or other written communication from a recipient or authorized representative affirmatively agreeing to all or part of the regional center’s or state-approved facility’s proposal or denial.
(1)CA 福利和机构 Code § 4701(k)(1) In the absence of written documentation, if the regional center or state-operated facility has a good faith belief that an agreement exists, it shall, within five business days of the agreement, send a letter confirming the agreement to the recipient and, if appropriate, their authorized representative, if any, by standard mail, certified mail, or email at their preference as indicated
in their individual program plan. The letter shall include at least all of the following:
(A)CA 福利和机构 Code § 4701(k)(1)(A) The factual basis for the regional center’s or state-operated facility’s good faith belief that an agreement exists to reduce, terminate, or change the services specified in an individual program plan or to deny the initiation of a service or support requested for inclusion in the individual program plan.
(B)CA 福利和机构 Code § 4701(k)(1)(B) The action the service agency intends to take.
(C)CA 福利和机构 Code § 4701(k)(1)(C) The reason or reasons for that action.
(D)CA 福利和机构 Code § 4701(k)(1)(D) The availability of an appeals process if the applicant, recipient, or authorized representative disagrees with the decision and a link to the department’s internet website with information about the appeals process.
(E)CA 福利和机构 Code § 4701(k)(1)(E) 关于如何对该决定表达异议以及如何获取有关上诉程序的更多信息。
(F)CA 福利和机构 Code § 4701(k)(1)(F) 一份如分节 (b) 所述的上诉请求表。
(2)CA 福利和机构 Code § 4701(k)(2) 如果区域中心被告知受益人或(如适用)其授权代表不同意其决定,区域中心应立即发送分节 (a) 中定义的充分通知。
(3)CA 福利和机构 Code § 4701(k)(3) 本分节应于2023年3月1日生效。
(l)CA 福利和机构 Code § 4701(l) “有权请求上诉的人员”指申请人、受益人以及分节 (d) 中定义的个人。
(m)CA 福利和机构 Code § 4701(m) “首选语言”指申请人或受益人选择的语言,以及(如适用)授权代表选择的语言。
(n)CA 福利和机构 Code § 4701(n) “受益人”指从区域中心或州营机构获得服务的发育障碍人士。
(o)CA 福利和机构 Code § 4701(o) “服务”指根据第4646节规定在受益人个人项目计划中列明的服务类型、数量和服务组成部分,并由区域中心或部门在州营机构提供。