vania-janet/multiturn-rag-retrieval-data huggingface dataset:
Bill Text - SB-225 Health care coverage: timely access to care.
An insurer shall establish and maintain provider networks, policies, procedures, and quality assurance monitoring systems and processes sufficient to ensure compliance with this clinical appropriateness standard. An insurer that uses a tiered network shall demonstrate compliance with the standards established by this section based on providers available at the lowest cost-sharing tier.(2) A health insurer shall ensure that all insurer and provider processes necessary to obtain covered health care services, including, but not limited to, prior authorization processes, are completed in a manner that assures the provision of covered health care services to an insured in a
	timely manner appropriate for the insured’s condition and in compliance with this section.(3) If it is necessary for a provider or an insured to reschedule an appointment, the appointment shall be promptly rescheduled in a manner that is appropriate for the insured’s health care needs, and ensures continuity of care consistent with good professional practice, and consistent with the objectives of Section 10133.5, the regulations adopted pursuant to Section 10133.5, and this section.(4) Interpreter services required by Section 10133.8 of this code and Article 12.1 (commencing with Section 2538.1) of Title 10 of the California Code of Regulations shall be coordinated with scheduled appointments for health care services in a manner that ensures the provision of interpreter
	services at the time of the appointment, consistent with Section 2538.6 of Title 10 of the California Code of Regulations, without imposing delay on the scheduling of the appointment. This subdivision does not modify the requirements established in Sections 10133.8 and 10133.9 of this code and Section 2538.6 of Title 10 of the California Code of Regulations, or approved by the department pursuant to Section 2538.6 of Title 10 of the California Code of Regulations for an insurer’s language assistance program.(5) In addition to ensuring compliance with the clinical appropriateness standard set forth in paragraph (1), a health insurer shall ensure that its contracted provider network has adequate capacity and availability of licensed health care providers to offer insureds appointments that meet the following timeframes:(A) Urgent care appointments for services that do not require prior authorization: within 48 hours of the request for appointment, except as provided in subparagraph (H).
The 2024-25 Budget: Department of Health Care Access and Information
spending is down in 2023‑24 relative to budget enactment, and then
increases in 2024‑25.

Figure 2
Overall Spending Varies Year to Year
HCAI Funding (In Millions)

2023-24

2024-25Proposed

Change From 2023-24 Revised

Enacted

Revised

Amount

Percent

General Fund

Ongoing

$68

$70

$88

$19

27%

One time

220

170

285

115

68

Carryover

—

753

—

-753

-100

Totals

$288

$992

$373

-$619

-62%

Other Funds

$379

$247

$150

-$97

-39%

Grand Totals

$667

$1,240

$523

-$716

-58%

HCAI = Department of Health Care Access and Information.

In Current Year, Deferred One-Time Funds Drive Down
General Fund Spending. Excluding the carryover of spending
from previous years, one-time General Fund spending is down in 2023‑24
relative to budget enactment. This downward revision is the result of an
assumed $50 million in deferred spending for the CalRx initiative to
2025‑26. The initiative supports a public-private partnership to develop
and manufacture a biosimilar insulin product. The deferred funds
originally were intended to support the construction of a manufacturing
facility. According to HCAI, manufacturing instead initially will occur
at an existing facility in Virginia, with construction of a California
facility occurring at a later date. In contrast to one-time spending,
ongoing General Fund spending is up slightly over the enacted level due
to technical compensation-related adjustments.
In Budget Year, a Few Key Adjustments Impact General Fund
Spending. Under the Governor’s budget, General Fund
Health Care Quality Report Cards - CDII


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HomeConsumer ReportsHealth Care Quality Report Cards

Health Care Quality Report Cards

Consider quality when choosing a health plan or medical provider. The CDII Office of the Patient Advocate’s Report Cards have ratings for California’s largest HMO and PPO plans and around 200 medical groups.

​Current ​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​Health Care Quality ​Report Cards

New! Health Plan Report Card
2023-24 Edition quality ratings about HMO and PPO health plans

Medical Group Report Card
2022-23 Edition quality and cost ratings for nearly 200 organizations.

Medicare Medical Group Report Card
2022-23 Edition quality ratings for medical groups that serve Medicare Advantage members.

Learn more

What is an HMO?
What is a PPO?
What is a Medical Group?
What is quality health care?
About the Report Cards – Find information about the data sources and methodology

 
Previous Report Cards Editions

Older Editions
Archived editions of the Health Care Quality Report Cards are undergoing maintenance and should be made available soon through this website or the CalHHS Open Data Portal.
For more information about the various editions, view the Annual Report Cards page.

 

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Top 7 Member Questions Answered by Our Experts - CalPERS PERSpective
Top 7 Member Questions Answered by Our Experts - CalPERS PERSpective

 

 

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Retirement Benefits • Health Benefits
Top 7 Member Questions Answered by Our Experts
4 months ago

Listening to members, employers, and stakeholders is at the heart of what we do. This priority took center stage at January’s Stakeholder Forum where our expert panel answered top questions received from members like you.

Deputy Executive Officer of Customer Services and Support Kim Malm moderated the discussion and led a panel of division chiefs who oversee the contact center and employer accounts. “Every day, CalPERS receives questions from members and works to deliver solutions,” Malm noted. “A key part of our 2022-27 Strategic Plan is member experience and continuing to provide outstanding service and support to our members and beneficiaries.”
In case you missed them, here are the top seven member questions received from our customer service team in 2023, and our answers.
1. Why Didn’t I Receive my Retirement Check?
The top question our Customer Services and Support team receives is why a retirement warrant (paycheck) doesn’t arrive on time. A few factors can impact the timely delivery of your check:
If previous checks are not cashed, or are being delivered to an incorrect mailing address, a hold will be placed on that account until the issue is resolved. Closing a bank account without updating your information with us can also impact the regular delivery of your retirement warrants.
Retirees who haven’t received a check by the sixth of the month can call 888 CalPERS (or 888-225-7377), or visit our Retirement Checks page to help keep your retirement checks delivered on time.
We offer many options for you to view your retirement check. You can view your check through our new mobile app or through the automated phone system.
2. What Amount Can I Expect in Retirement — and for How Long?
The good news is your retirement allowance won’t run out since it’s a lifetime benefit.
4 Steps to Prepare to Call CalPERS - CalPERS PERSpective
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4 Steps to Prepare to Call CalPERS
3 weeks ago

Need assistance? Here are four quick tips to help you prepare to call the CalPERS Contact Center:
Have Your CalPERS ID or Social Security Number Handy
If you have specific questions about your account, we’ll need one of these numbers to access it. You can find your CalPERS ID on any letter you receive from CalPERS.
It’s a unique 10-digit number we assign to you as an alternative to using your Social Security number when conducting business with us.
Know the Best Days and Times to Call
While we strive to provide the fastest response possible, to reduce any possible wait times you may wish to call us:

During the middle or end of the week
In the afternoons
After the first of the month

Our highest call volume periods are during the beginning of the week, the day following a holiday, and early mornings.
Know if Language Services Are Needed
We are ready to help you with interpreting assistance. If you need interpretation services, request to speak with an interpreter at the very beginning of the call. The waiting period to reach an appropriate interpreter can vary based on the current call volume, but we will get a professional interpreter in your preferred language on the line as quickly as possible.
Check Your myCalPERS Online Account
Prior to calling, you can log in to your myCalPERS account and check for any publications and CalPERS communications that may be related to your question. The myCalPERS portal is your gateway to conduct business electronically with CalPERS and access real-time details about your CalPERS account.
You can access health information, plan for retirement, conduct business with CalPERS online, and enroll in educational offerings or schedule appointments. You may also use myCalPERS to maintain accurate, up-to-date contact information, including your mailing address, phone number, and email address.
Don’t have a myCalPERS account?
한국어 고용개발부(Employment Development Department, EDD) 자료
인력 서비스 문의

미국 California 직업 센터
근처 미국 California 직업 센터에 문의하려면 사무소 찾기 (영문)를 방문해 주십시오. 일반 인력 서비스 정보 문의

영어: 1-916-654-7799에 전화해 한국어 통역사 요청
California 장애 지원 서비스 (711): 안내원에게 인력 서비스 번호 (916-654-7799) 제공

직업을 찾고, 직업 박람회 목록을 나열하고 그 외 온라인 고용 서비스를 검색할 수 있는 CalJOBSSM (영문)를 방문해 주십시오. 도움이 필요하시다면 CalJOBS인 1-800-758-0398로 전화해 주십시오.
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DeadlineThe date (and time, where applicable) by which all applications must be submitted to the grantmaker. Time listed as “00:00” equates to midnight.Sort by: Deadline Grant TitleSort by: Grant Title Open DateThe date that a grant’s information was made available on the portal. If the grant is Active (i.e. not Forecasted), the Open Date also marks the start of the application period.Sort by: Open Date State Agency / Department Match Funding?Certain grants require that the recipient(s) be able to fully or partially match the grant award amount with another funding source. Estimated Total FundingThe total projected dollar amount of the grant.Sort by: Estimated Total Funding Estimated Low/HighA range indicating the smallest dollar amount that a grant award might be and the highest dollar amount that a grant award might be. Funds DisbursementThe manner in which the grant funding will be delivered to the awardee. Disbursement methods include reimbursements (where the recipient spends out-of-pocket and is reimbursed by the grantor) and advances (where the recipient spends received grant funds directly). 

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GFO-23-310 – Non-Energy Impacts and Process Evaluation of Integrated Energy Retrofit Packages in California’s Residential Buildings

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If your mailing address is 1234 Main Street, the numbers are 1234.

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Some tax returns need extra review for accuracy, completeness, and to protect taxpayers from fraud and identity theft. Extra processing time may be necessary.
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Petition for Review – California Appellate Courts
An order denying review may be signed by only the Chief Justice.
 
 What happens after the court makes a decision? What happens next in the case depends on what the court decides.

If the California Supreme Court does not take any action, the appeal decision generally becomes final 61 days from the date it was issued and then the Court of Appeal issues a remittitur. 
If the California Supreme Court denies the petition for review, the appeal decision becomes final immediately and then the Court of Appeal issues a remittitur. 
If the California Supreme Court agrees to review the case, then the case moves from the Court of Appeal to the Supreme Court and a new briefing process begins.

 

What Happens if the California Supreme Court Grants a Petition for Review
As the highest court in the state, the California Supreme Court has a lot of flexibility when it reviews a case. Every case is different and the parties need to learn the rules and procedures of the court.
Here are answers to common questions about Supreme Court review.

 Will the review process start immediately? It depends on the case. The court may delay review while it waits for another case to be decided. The court may also take time to decide which of the issues in the case it wants to hear.
 
 What issues will the court consider? The court has total control over what issues to consider. It may review one, some, or all the issues raised in the appeal. The court may also decide not to review any of the issues raised in the appeal and may identify one or more new issues to review.
 
 What are the parties required to do? If the California Supreme Court decides to hear a case, the process is similar in some ways to what happens in the Court of Appeal. The parties file briefs and then present oral arguments. During review, the parties can only address the issues selected by the California Supreme Court.
The petitioner must file a brief within 30 days after the court agrees to review the case. This can be an opening brief or respondent’s brief that the party filed in the Court of Appeal. The other side then has 30 days to file an answer or a copy of the brief they filed in the Court of Appeal.
Office of the Patient Advocate - State of California


Its Help Center addresses complaints from members of HMOs and other health plans licensed by the department.

DMHC Help Center
Main phone number: 1-888-466-2219
TTY/TDD: 1-877-688-9891
Hours of operation: Monday-Friday, 8:00 a.m. – 6:00 p.m.
Service for urgent issues available after hours and on state holidays.
Website: www.healthhelp.ca.gov

Complaint Data Highlights
The highlights below are based on information DMHC reported to OPA about its consumer assistance service center and the complaint cases it reviewed in 2020. More details can be found in the DMHC section of the full Annual Complaint Data Report.
 Consumer assistance volume in 2020: 130,233 phone calls, emails, and other consumer contacts
Complaint volume in 2020: 15,884 complaints
Complaint review time in 2020: 24 days on average
Complaint resolution times ranged from 0-183 days.

The above statistics include cases with review times counted prior to completion of the complaint application, when initial information was first received from the consumer. DMHC’s time standard for its review of standard complaints is 30 days after receipt of a complete complaint application.
DMHC usually requires that consumers file a complaint (grievance) with their health plan before the department will review their complaint.
There is a faster process for urgent health issues.

Top ten reasons for complaints:

Medical Necessity Denial (15% of complaints)
Co-Pay, Deductible, and Co-Insurance Issues (13%)
Delays/No Response (9%)
Quality of Care (8%)
Denial of Coverage (7%)
Out-of-Network Benefits (7%)
Misrepresentation (6%)
Billing/Reimbursement Issue (5%)
Access to Care (5%)
Pharmacy Benefits (4%)

Top five results of the complaint review:

Health Plan Position Substantiated (50% of complaints)
Advised Complainant (14%)
Compromise Settlement/Resolution (12%)
No Jurisdiction (8%)
Office of the Patient Advocate - State of California


Starting January 1, 2020, Californians must have health insurance or face penalties at tax time.

 
 

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Grants/Funding Opportunities - New York State Department of Health
RFC - Request for Comments

RFC Title
Due Date
Date Issued

There are currently no active Requests for Comments.

IFB - Invitation for Bid

IFB Title
Due Date
Date Issued

#20159 - Digital Data Loggers for Vaccine Temperature Monitoring
February 2, 2024 at 4:00 p.m. ET
November 28, 2023

#20316 - WIC Infant Cereal Rebate
January 11, 2024 2:00 p.m. ET
September 26, 2023

#20291 - Purchase and Delivery of Scientific, Specialty, Liquid, and Industrial Gases
December 08, 2023 at 3:00 p.m. ET
September 26, 2023

#20365 - Snow Plowing and Snow/Ice Removal Services at The David Axelrod Institute and Griffin Laboratory
November 3, 2023 at 3:00 p.m. ET 
September 21, 2023

RFI - Request for Information

RFI Title
Due Date
Date Issued

American Indian Health Program (AIHP) Claims Processing Solutions
May 17, 2023
April 17, 2023

Consultant Services to Inform Strategies to address the Institutions for Mental Diseases (IMDs) Medicaid exclusion as it relates to Congregate Residential Programs and the Development of Community Based Services for youth in Child Welfare
May 12, 2023
April 4, 2023

Enterprise Electronic Disease & Condition Surveillance (EDSS) Solutions
April 10, 2023
March 2, 2023

Vehicle Evaluations and Modifications
October 26, 2021 by 3:00 p.m. ET
September 13, 2021

Uniform Tasking Tool (UTT) Solutions
June 3, 2021 by 5:00 p.m. ET
May 6, 2021

Innovative Medicaid Enterprise Systems (MES) Solutions
June 14, 2021 by 5:00 p.m. ET
April 29, 2021

Solicitation of Interest

SOI Title
Due Date
Date Issued

SOI# 20472 – Doctors Across New York Physician Loan Repayment and Physician Practice Support Programs– Cycle X
5/2/2024
3/14/2024