vania-janet/multiturn-rag-retrieval-data huggingface dataset:
Office of the Patient Advocate - State of California


DMHC, DHCS, CDI, and Covered California report annual complaint data to CDII (previously OPA) about their consumer health care complaints that were closed between January 1 – December 31 of each Measurement Year.
The reporting entities and CDII continue to collaborate to enhance the annual Complaint Data Report. Significant changes to data collection or reporting methodologies are noted in the each annual report’s detailed methodology.​

​​View the detailed methodology from the most recent Complaint Data Report.
Prior years’ methodologies can be found through the Annual Complaint Data Reports webpage and within each annual report’s Background and Methodology section.

Definitions

The annual reports rely on two primary data distinctions for reporting on consumer assistance cases.

Complaint: A written or oral complaint, grievance, appeal, independent medical review, hearing, and similar process to resolve a consumer problem or dispute.
Inquiry: A request for assistance made by a consumer to a consumer assistance service center that does not initiate a complaint with the associated reporting entity. Inquiries include requests that the service centers address by providing information to the consumer or by making a referral to another entity.

View the most recent Report Glossary for additional complaint data and consumer assistance terms.

Other Complaint Data Resources
The following state websites have reports and other information about health care coverage complaints in California. The National Association of Insurance Commissioners online resource has national statistics about insurance complaints.
Department of Managed Health Care

 DMHC Health Plan Dashboard
Annual Reports on Complaints and Independent Medical Reviews
Independent Medical Review Database

Department of Insurance

Independent Medical Review Database

Department of Health Care Services

Medi-Cal Managed Care Performance Dashboard

Department of Social Services

State Fair Hearings statistics

National Association of Insurance Commissioners

Consumer Insurance Search (includes Report Options to view company complaints)​​​​​​

About OPA
 
 
 
 
 
 
 
 
 
 

Staff
 
 
 
 
 
 
 
 
 




	Strategic Plan 
 
 
 
 
 
 



	News and Media
 
 
 
 
 
 


 Research and Reports
 
 
 
 
 
 

Contact Us
 
 
 
 
 
 
 
 
 

Health Care Quality
 
 
 
 
 
 
 
 
 
 


Health Plan Report Card
 
 
 
 
 


Commercial Medical Group Report Card
 
 
 
 
 


Medicare Medical Group Report Card
 
 
 
 
 

Complaint Data Reports

Other Resources

How to File a Complaint

Know Your Rights

Health Insurance and Public Coverage


 Local Assistance Resources
 
 
 
 
 


 Statewide Assistance Resources
 
 
 
 
 

Back to Top

Accessibility Certification

Conditions of Use
Conditions of Use - CalPERS
If you haven't registered for myCalPERS, select the Participant option and Continue, followed by Register Now. You'll need to create a username and password to obtain secure online access to your CalPERS account information.
Your Password
Your password is your personal, confidential key to accessing CalPERS information online. Your password and your username are both Secure Socket Layer (SSL) encrypted. During the online access registration and log in processes, we request information about you so we can authenticate who you say you are.
You play an important role in making sure your confidential information is secure. To ensure your personal password remains secure, you should never reveal it to anyone. If you believe someone has gained access to your password, you should change it immediately.
When you log in to myCalPERS always verify that your personal security icon and personal security message are the ones you chose. These are known only to you and CalPERS and would not appear on an imposter site. If these security items do not appear or are not the ones you chose, do not enter your password and contact us for assistance.
CalPERS employees will never ask for your current password in any form including over the telephone or via email.
We recommend you always log out when leaving our websites and close your browser. As an extra security measure, if you’re using one of our online services and no activity is detected for 15 minutes, you’ll automatically be logged out. If this happens, you may receive an error message. If you do, simply close all your browser windows, reopen, and navigate back to our website to continue.
Your Voluntary Use of Our Website & Online Services
If you chose to use an online service that asks for specific information, such as completing a request for assistance, subscribing to email subscriptions, sending an email, or completing online transactions, more detailed data will be collected. It is voluntary for you to engage in these activities.
If you choose to submit information to us, it will be securely transmitted to our internal databases. It will only be used for the purpose it was provided, and will not be shared with another entity unless otherwise required by law.
CalCareers

CalCareers

Skip to Main Content

×

Default

High Contrast

Reset

Increase Font Size
Font 

Decrease Font Size
Font 


 CalCareers Informational Message:
 

 Learn how to get a state job with our step-by-step guide. https://workforcalifornia.ca.gov
 


 CalHR Job Center:
 

 The CalHR Job Center, located at 1810 16th Street, Sacramento, CA 95811, will be open on the 1st and 3rd Tuesdays of the month. Our hours are 9:00 AM - 12:00 PM and 1:00 PM - 3:00 PM. A staff member will be available to assist you in navigating our CalCareer website for job opportunities. This is not a job fair event.
 

×

Site Search: 


 Site Search
 

 Help/Tutorials


  Settings


  Messages

Menu

Search

Home

Get a State Job


 State Employees
 


 Veterans
 

Persons with Disabilities

State Retirees

Create Account / Log In
 


 Exam Bulletin

 
 
 - 
 Supervising Special Investigator 1 (NPO)

State of California

Exam Code: EX-1242Examination Plans Included:SUPERVISING SPECIAL INVESTIGATOR I (NON-PEACE OFFICER) - Open

Final Filing Date: 
Applications are accepted on a continuous basis.

Classification Details

SUPERVISING SPECIAL INVESTIGATOR I (NON-PEACE OFFICER) : $5,954.00 - $8,952.00 per Month 

View the SUPERVISING SPECIAL INVESTIGATOR I (NON-PEACE OFFICER) classification specification.

Application Instructions

Applications are accepted on a continuous basis.
Who Should Apply:
The information below will help you determine which classification(s) is(are) appropriate for you. Applicants must meet the Minimum Qualifications as stated on this bulletin to compete in this examination.Open and Open, Non-Promotional Examination(s): SUPERVISING SPECIAL INVESTIGATOR I (NON-PEACE OFFICER) - Open
The 2024-25 Budget: Medi-Cal Analysis
Tying Payment Increases to Medicare Worth Considering… The administration’s proposed approach of tying certain provider payments to a percent of the Medicare level on an ongoing basis has a few advantages. First, such an approach would allow for a more rational basis to adjust rates than what currently exists. Under the current approach, many rates generally are not adjusted annually, allowing them to lag behind inflation. Also, tying these payments to Medicare would address differences across rates that lack a clear policy basis. As a result, the administration’s proposed approach would help mitigate inequities and set forth a consistent approach for annual adjustments. Moreover, using Medicare payments as a benchmark for Medi‑Cal rates in concept is reasonable, as Medicare is a publicly funded health coverage program and comprises a sizable share of the health care market.
…But Trade‑Offs Exist. While the Medicare program often is used as a benchmark for state Medicaid payment levels, there are trade‑offs to tying Medi‑Cal’s provider payments to Medicare. Most notably, such an approach would tie Medi‑Cal’s provider payment adjustments to federal policy decisions. A March 2023 nonpartisan analysis concluded that Medicare payments for physician and professional services appear adequate to enable patients to access care. That said, the analysis also found that annual adjustments to these payments since 2010 have not kept pace with the growth in medical costs, though spending per beneficiary (which accounts for the volume and intensity of services rendered, in addition to costs) kept closer pace with inflation. Future federal decisions are uncertain, and they may not always align with the needs of the Medi‑Cal program, which serves a different population than Medicare.
Proposed Prospective Payment Systems Also Worth Considering, Though Further Analysis Is Warranted. In concept, prospective payment systems have certain advantages over traditional procedure‑based reimbursements for hospitals. Most importantly, because these systems pay for an episode of care, rather than for every procedure, hospitals have incentives to avoid unnecessary services and treat patients efficiently. That said, designing effective prospective payment systems is a complex exercise. Research and analysis from DHCS is warranted to ensure these new systems provide the intended incentives and avoid unintended consequences.
State Disability Insurance
State Disability Insurance

 

Skip to Main Content

 

CA.gov

 Language Resources

Home
Benefits Login
Employer Login

 

Default Color
High Contrast (Yellow and Black)

Reset Font SizeReset Font
Increase Font SizeFont Increase
Decrease Font SizeFont Decrease

×

 

 

Search

Menu

 

Jobs
 

Claims
 

Employers
 

Newsroom
 

Search

Custom Google Search

Submit
Close Search

Español

State Disability Insurance

Disability Insurance and Paid Family Leave Benefits
The California State Disability Insurance (SDI) program provides short-term Disability Insurance (DI) and Paid Family Leave (PFL) wage replacement benefits to eligible workers who need time off work.
You may be eligible for DI if you are unable to work due to non-work-related illness or injury, pregnancy, or childbirth.
You may be eligible for PFL to:

Care for a seriously ill family member.
Bond with a new child.
Participate in a qualifying event because of a family member’s military deployment to a foreign country.

To file for benefits, read messages from the EDD, submit online forms, or manage your profile, access your SDI Online account.
Note: It may be necessary to send some documents via U.S. mail.

We Welcome Your Feedback

Take our online survey and help us improve our service. This survey should take about 5 minutes to complete.

 Go to Survey
 

Disability Insurance

Disability Insurance Overview
DI Claim Process
SDI Online
Am I Eligible for DI Benefits?
DI and PFL SMS Texts

Paid Family Leave

About Paid Family Leave
PFL Claim Process
SDI Online
Am I Eligible for PFL Benefits?
DI and PFL SMS Texts

Employers and Self-Employed

Employers Overview
Eligibility for Your Employees
Employer Requirements
Self-Employed and Independent Contractors
Elective Coverage
Workers’ Compensation

Physicians/Practitioners

Physicians/Practitioners Overview
Certify and Manage Claims
Roles of Physicians/Practitioners in SDI
Online Tutorials
DI and PFL SMS Texts

Voluntary Plan

Voluntary Plan
About VA Health Benefits | Veterans Affairs
Learn more about vision care through VA

In certain cases, you may receive dental care as part of your VA health benefits.
Find out if you can get dental care through VA

As a Veteran, you may be able to get assisted living, residential (live-in), or home health care through VA.
Find out how to access these long-term care services

These services aren’t included in the VA medical benefits package under current regulations:
Cosmetic surgery, unless we conclude that it’s medically necessary (needed to prevent or treat a certain illness, injury, condition, disease, or symptoms)
Gender-affirming surgical interventionsLearn more about gender-affirming surgery regulations on our patient care website
Health club or spa membership
Inpatient hospital or outpatient care if you’re a patient or inmate in a non-VA government agency institution, if that agency must provide the care or services by law
Medicines and medical devices that aren’t approved by the Food and Drug Administration (FDA)
Exception: You can get VA health care for medicines and medical devices that aren’t approved by the FDA if you’re in an approved clinical trial. This exception also applies if you’re seriously ill and your VA health care provider prescribes a new, unapproved medicine because there are no other comparable treatment options (called a compassionate use or expanded access exemption).

We’ll fill prescriptions by a non-VA community provider only if you meet all these requirements.
All of these must be true:
You’re enrolled in VA health care
You have an assigned VA primary care provider
You’ve given your VA provider your medical records from your non-VA provider
Your VA provider agrees with the prescription
Learn more about prescriptions from community providers

This will depend on factors like your income level, disability rating, and military service history. Most Veterans need to complete a financial assessment when they enroll. This helps us determine if you qualify for free VA health care.
Learn more about VA copaysFind out more about financial assessments

At VA, we take a team approach to health care—with you at the center. Research shows this kind of approach leads to better quality care, more satisfied patients, and fewer hospital visits.
Office of the Patient Advocate - State of California


For acute care hospitals and nursing home facilities, file a complaint with the ​ California Department of Public Health (CDPH). For assisted living, adult day care, and other types of community care facilities, file a complaint with the California Department of Social Services​ (DSS).

I already filed a complaint with another state office. Can I also file a complaint with OPA?

No, OPA does not take complaints. Depending on your issue, we can try to direct you to other helpful resources. See our list of additional resources​.

Can OPA do anything to speed up the review or overturn a decision made by another office?

No. Depending on the situation, we can direct you to the appropriate state office to request a review or appeal of your case. Find more information on contacting a state help center for an appeal here​.

Where can I find additional help with filing a complaint?

See our list of local​ and statewide assistance​ resources.

Health Insurance Coverage Questions

Where can I get health insurance coverage?
There are various options for obtaining healthcare coverage including coverage at little or no cost to you.

You can sign up for a health plan through Covered California​, California’s health insurance marketplace. Think of this marketplace as California’s online shopping mall for health insurance, it makes it easier to find health plans and choose one that works well for you. Covered California screens for low-cost coverage options and provides premium assistance for those who qualify.
Visit the Department of Insurance​ for detailed information on different health insurance options to find what type of coverage best fits your needs.
You do not have to purchase from the marketplace, health care policies are also available for purchase directly from a health plan or through an insurance broker. Find a local licensed insurance broker here or contact a plan directly for more information.
Find more information on free and low cost services here​.

Whom do I contact if I have a problem using my insurance coverage to get health care services or pay for services?

Contact your health plan’s member services to file a grievance​.
If you have already filed a grievance with your health plan, you can file an external complaint with the Department of Managed Health Care​ (DMHC), who oversees most California plans.
Office of the Patient Advocate - State of California


Like HMOs, PPOs have a network of doctors and other providers. However, you can choose to see providers who are not in the network. You usually pay a higher cost to see providers who are not in the network.
The providers in the network have an agreement with your PPO that sets a price to provide you a service, like an office visit or surgery. These providers cannot charge you more than the set price. But a provider that is not a part of the network can charge you more. Check with your PPO plan about its provider network and about costs.
Primary care doctors and medical groups:
In most PPOs you are not required to select a main doctor, also known as a primary care doctor or PCP. Some PPOs will ask you to select a doctor or a medical group that will provide most of your care. A medical group is a group of doctors and other providers that contract with a health plan. Check with your PPO plan about its rules and network of providers.
Referrals and pre-approvals:
In most PPOs, you usually can go to a specialist and get certain other services without first seeing a primary care doctor and getting a referral. You or your doctor may need to get pre-approval from your PPO before certain treatments, procedures, or services are performed. Check with your PPO plan about its rules regarding referrals and pre-approvals.

Why would I choose a PPO?

You have a doctor you like and you want to keep this doctor, and the doctor is in the PPO network.
You want to see specialists and other providers without having to get referrals and pre-approval first.
You want more of a choice of doctors and hospitals you can go to.
You want the freedom to see providers who are not in the network. You are willing to pay an extra cost if an out-of-network provider charges more than the PPO’s allowed amount.

Why would I NOT choose a PPO?

You want easier to understand fixed costs (such as a co-pay) instead of a percentage of service costs.
You do not want to get bills from providers.
You want to avoid more paperwork related to insurance claims.
California Health and Human Services - California Health and Human Services
Learn More Sign the Data Exchange Framework’s Data Sharing Agreement Today The DxF is an opportunity to create equitable and affordable health information exchange, so that patients, providers, and other healthcare entities can access the health information they need to receive and provide timely, effective, whole person care. And, today, social and human services providers and other healthcare entities can take the first step by signing the DxF’s DSA – a signed agreement between hospitals, physician organizations and medical groups, skilled nursing facilities, health plans and disability insurers, clinical laboratories, and acute psychiatric hospitals to share patient information safely. California Health and Safety code requires most providers and healthcare entities to sign the DSA by January 31, 2023.
Take the First Step TodayBenefitsCalBenefitsCal is a simple way for Californians to apply for, view, and renew benefits for health coverage, food and cash assistance. Now it’s easier than ever to get the help you need. 

Apply now 

 Previous slide

 Next slide

 NEWS

 DATA

 

 INITIATIVES

 

 BLOG

	Statement from CalHHS Secretary and Covered California Board Chair Dr. Mark Ghaly on Federal Action to Increase Access to Health Insurance Coverage for DACA Recipients	

	May 3, 2024	

	ICYMI: White House Recognizes California’s Nation-Leading Work to Keep More Californians Covered	

	March 29, 2024	

	CalHHS Issue Brief: California’s Journey with Medi-Cal Redeterminations	

	March 27, 2024	

	Statements from CalHHS Secretary Dr. Mark Ghaly, BCSH Secretary Tomiquia Moss and CalVet Secretary Lindsey Sin on Voter Passage of Proposition 1	

	March 21, 2024	

	California Health & Human Services Legislative Action Report 2022-23	

	March 15, 2024	

	ICYMI: CalHHS Takes Action to Support Youth, Parents, and Older Adults, Advancing Its Vision of a Healthy California for All	

	March 11, 2024	

ARCHIVED NEWS▸	

California Governor
Gavin Newsom

 Visit Governor's Website ▸
 

 

Secretary
Mark Ghaly

 Visit Secretary's Page ▸
 

 

 

 

 

 

Follow @Cal_HHS

Tweets by Cal_HHS 

 

 

 

Help
Accessibility
Conditions of Use
Retirement Benefits - CalPERS


Retirement Benefits - CalPERS

Skip to main content
	

California Public Employees' Retirement System (CalPERS) logo
California Public Employees' Retirement System (CalPERS) logo

Menu

Contact
About

Log in to myCalPERS

Log in to myCalPERS 

Search

Search 
	

Home


	Members

Retirement Benefits
Health Benefits
Death Benefits

 

Retirees

Cost of Living
Health & Medicare
Retirement Checks
Taxes
Working After Retirement

 

Employers

Actuarial Resources
Benefit Programs
Contracts
myCalPERS Technical Requirements
Policies & Procedures

 

Investments

About Investments

Corporate Governance

Investment Manager Opportunities

Sustainable Investments Program

Newsroom
Blog
Contact
About

Search

Search 

Retirement Benefits
Health Benefits
Death Benefits

Retirement Benefits

Benefit Factor ChartsDeferred CompensationReciprocity (Linking Retirement Systems)Refund Member ContributionsService & Disability RetirementService Credit (Time Worked)

Service Credit Purchase Options
Learn if you're eligible to increase your CalPERS service credit through a service credit purchase.
View Our Service Credit Purchase Options Guide (PDF) 

Overview

Service credit is the time you accrue while on the job under a CalPERS-covered employer.
The minimum retirement age for service retirement for most members is 50 years with five years of service credit.
The more service credit you have, the higher your retirement benefits will be.
There are three basic types of retirement: service, disability, and industrial disability.
Your retirement benefits are based on a formula - not what you contribute into the system.
 

Videos  

CalPERS Members: Early Career Basics
Video Length: 47:26

Retirement Income Sources
Video Length: 23:07

How Is Your CalPERS Pension Funded?
Video Length: 01:45

Your Retirement Estimate and Payment Options
Video Length: 30:22

Your Retirement Calculation
Video Length: 19:33

  View CalPERS Videos

 Updated: October 11, 2023 

Visit the CalPERS Facebook page.

Visit the CalPERS Twitter page.

Visit the CalPERS YouTube channel.

Visit the CalPERS LinkedIn profile.

Visit the CalPERS Instagram page.

RSS Feed

We serve those who serve California.
	
      Copyright © 2024 California Public Employees' Retirement System (CalPERS) | State of California

Contact
Job Opportunities
Subscribe
Privacy Policy
Conditions of Use
Accessibility
Bilingual Services
Judges' Retirement System
Site Map