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Office of the Patient Advocate - State of California


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If you require assistance or alternative testing arrangements due to a disability, indicate on your application that you need reasonable accommodation. You will be contacted by a representative of the testing department to make the necessary arrangements. If you have not been contacted by the time you receive notification of testing, please contact the testing department listed in the Contact section of this bulletin.If you are unable to submit your application or complete the test due to a disability, please contact the testing department listed in the Contact section of this bulletin.

Minimum Qualifications

All applicants must meet the education and/or experience requirements as stated on this exam bulletin to be accepted to the examination.Unless otherwise stated in the Minimum Qualifications, qualifying experience may be combined on a proportionate basis if the requirements stated below include more than one pattern and are distinguished as "Either" 1, "or" 2, "or" 3, etc. For example, applicants possessing qualifying experience amounting to 50% of the required time of Pattern 1 and additional experience amounting to 50% of the required time of Pattern 2 may be accepted to an examination as meeting 100% of the overall experience requirement.00108549 - SUPERVISING SPECIAL INVESTIGATOR I (NON-PEACE OFFICER) Either 1 One year of experience performing the duties of an Investigator, Range B or a Special Investigator, Range C in the California state service.Or 2 Experience: Three years of experience in investigation work, at least two years of which involved complete responsibility for difficult and unusual cases. and  Education: Equivalent to completion of the twelfth grade. (Additional qualifying experience may be substituted for the required education on a year-for-year basis.)

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The 2024-25 Budget: Medi-Cal Analysis
As a budget solution, the Governor proposes to modify last year’s MCO tax package by (1) increasing the tax rate on Medi‑Cal enrollment and (2) shifting funds out of a reserve for planned augmentations in Medi‑Cal and other health programs. The administration states that the proposal, which would provide an additional $4.6 billion in General Fund savings through 2026‑27, would advance the timing of when the reserve is expected to be depleted. In light of the fiscal constraints facing the state in the near term, we recommend the Legislature consider approving the proposal after the administration shows that it stands a reasonable chance of receiving federal approval. That said, it also would be prudent to begin planning for the long‑term sustainability of the MCO package after the reserve is depleted.
There Are Many Issues to Weigh Around Proposed Provider Payment Increases. In response to direction from the Legislature in last year’s budget package, the Governor proposes a plan to increase Medi‑Cal payments for several kinds of services. The proposed plan also would make several changes to the way Medi‑Cal pays providers. In concept, several aspects of the proposed package could make Medi‑Cal’s provider payment system more rational, equitable, and efficient. That said, these impacts depend on many forthcoming details and there are risks and uncertainties associated with the package. We offer five key concepts for the Legislature to keep in mind as it weighs its own options to increase Medi‑Cal provider payments and learns more about the Governor’s proposal in the coming months.
Other Proposed Budget Solutions Are Reasonable but Additional Solutions Likely Needed. Outside of the MCO tax package, the Governor proposes $1.2 billion in budget solutions across 2023‑24 and 2024‑25. Given the substantial budget problem facing the state, these proposed solutions are warranted. Moreover, considering additional options now would be wise in light of the state’s deteriorating budget condition. For example, if voters approve Proposition 1 in March, we recommend the Legislature consider shifting the remaining $481 million General Fund for the Behavioral Health Continuum Infrastructure Program to bond funds.
Introduction
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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. If we need to coordinate efforts with other parties, such as the State Controller’s Office, employers, or health plans, it will only be used to conduct the CalPERS-related business, including electronic notifications of educational events and surveys.
The use of our websites is voluntary. If you don’t wish to conduct electronic business with CalPERS, our staff is available to assist you by phone at 888 CalPERS (or 888-225-7377) or you can visit one of our eight Regional Offices located throughout the state.

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Your use of any portion of CalPERS social media websites is subject to the following terms and conditions.
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You agree that your use of CalPERS social media websites and these terms and conditions are governed by the laws of the State of California.
Comments by Others Are Not Endorsed
We don’t endorse, support, sanction, encourage, verify, or agree with the comments, opinions, or statements posted on any of our social media websites. Any information or material placed online, including advice and opinions, are the views and responsibility of those persons making the comments and don't necessarily represent the views of CalPERS or our third-party service providers. By submitting a comment for posting, you agree that CalPERS and our third-party service providers are not responsible, and shall have no liability to you, with respect to any information or materials posted by others.
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<span style="font-size:18px;"><span style="color:#22252b;white-space:pre;font-size:24px !important;font-weight:bold !important;">Public Records Act Requests</span>​<br></span></p><p> 
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Interactive tool that lets you check the financial relationship of your doctor with pharmaceutical companies.
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The California Health Interview Survey’s interactive tool allows you to quickly search for health statistics on your zip code, legislative district, city, county, region, and all of California.

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This U.S. National Library of Medicine site contains selective links representing a sample of available health data. Items are selected for their quality, authority of authorship, uniqueness, and appropriateness.

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The Agency for Healthcare Research and Quality (AHRQ) provides a range of data resources in the form of online, searchable databases. Data are provided on topics such as the use of health care, the costs of care, health care systems, trends in hospital care, health insurance coverage, out-of-pocket spending, and patient satisfaction.

www.ahrq.gov/data/resources

Last updated 10-12-18

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OPA is moving! We are pleased to announce that the Office of the Patient Advocate is now part of the new Center for Data Insights and Innovation.

We remain dedicated to providing Californians with data to help them make informed decisions about their health care.

OPA’s products will be available through this website until they are moved to CDII’s website.

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The 2024-25 Budget: Medi-Cal Analysis
For example, we recommend the Legislature plan for the possibility that the next MCO tax is smaller than this one and adopt an overall budget package with adequate capacity in the General Fund to sustain ongoing augmentations in the future. Such a plan also would consider the timing of when new augmentations and payment changes would begin and ensure these changes are not disrupted by the potential depletion of the provider payment reserve. Moreover, the Legislature may wish to consider the possibility that the voter initiative qualifies for the ballot and is enacted by voters and plan accordingly.
Other Budget Solutions
In this section, we analyze the Governor’s proposed budget solutions in Medi‑Cal, other than those related to the MCO tax (discussed earlier). We first provide background on the package of Medi‑Cal budget solutions enacted in the 2023‑24 budget. Next, we describe each of the non‑MCO tax‑related budget solutions proposed in the Governor’s budget. We then provide our assessment of the package and our recommendations.
Background
In Recent Years, State Has Supported Major Limited‑Term Initiatives in Medi‑Cal. Much of the state’s recent limited‑term spending in Medi‑Cal has focused on behavioral health. For example, the 2021‑22 budget provided $1.7 billion General Fund ($2.2 billion total funds) for the Behavioral Health Continuum Infrastructure Program (BH‑CIP), which supports grants for behavioral health‑related infrastructure projects. Relatedly, the 2022‑23 budget package provided $1.5 billion General Fund over two years for the Behavioral Health Bridge Housing (BHBH) initiative, which supports the development of transitional housing for people who are experiencing homelessness and have serious behavioral health conditions. These initiatives have been implemented over multiple rounds of grant funding. There are other, smaller one‑time initiatives covering other areas of Medi‑Cal as well.
Last Year’s Budget Included Medi‑Cal Budget Solutions. As part of a package of budget solutions across state programs, the 2023‑24 budget included $5 billion in reductions, delays, funding shifts, and new revenue in Medi‑Cal in 2022‑23 and 2023‑24.
Privacy Policy - CalPERS
Health Insurance Portability and Accountability Act
The Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule, a federal law, gives you rights over your protected health information (PHI) and sets rules and limits on who can look at and receive your PHI. HIPAA allows the disclosure of PHI needed for patient care and other important purposes. The Security Rule, a federal law that protects health information in electronic form, requires CalPERS to ensure that electronic PHI is secure. We will only use and disclose such information as stated in CalPERS Notice of Privacy Practices (PDF).
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If you have questions or would like additional information regarding our privacy policy, email us or write:
CalPERS
Information Security and Privacy Officer
400 Q Street
Sacramento, CA 95811
Effective date: March 11, 2015
Review date: October 3, 2022 

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FAQs • Monterey Park, CA • CivicEngage
If you have a medical condition and are seeing a doctor on a regular basis or are currently taking a prescribed medication you should complete this form and place in an enveloped marked "Attention Paramedics" and kept in a visible place such as the outside of your refrigerator.	

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How do I get a copy of an Emergency Medical Service Report

Submit a Public Records Request to the City Clerk's Office for receipt and processing to the Fire Department. Report copies are $8.00. EMS reports may only be obtained by the patient or legally authorized individuals (please see the Federal HIPAA Privacy Rule)	

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How can the Patient Medical Form help me during an emergency?

To speed patient care the paramedics need to know your current medical history, if you have any allergies to medications, and what medications you are currently taking. The faster they get this information the faster you will be treated. If they arrive and you are unconscious they can quickly get this information from the envelope you placed on your refrigerator door.	

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How can I volunteer for the library?

Volunteers help schoolchildren with homework, read stories, assist with donations and operate the Friends of the Library Bookstore, shelve books, assist students in computer classes, tutor those who need help with speaking, reading or writing English, mend and process books, help with office tasks and assist with library special events.Anyone who is interested in volunteering must complete a volunteer application . These can also be picked up from any of the library’s information desks. Please call the Administration Office at (626) 307-1269 for more information. 

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You can support the library by volunteering, donating money or books or by joining the Friends of the Monterey Park Library. The Friends of the Library assists with the semi-annual book sale, runs the Bookstore, raises funds for programs, presents library programs, etc. Please ask at the Reference Desk for an application. Dues are $5 for a single person, $10 for a family, $3 for Seniors, $25 for Patron status, $50 for Sustaining and $100 for Benefactor.
The 2024-25 Budget: Medi-Cal Analysis
As part of the recently enacted MCO tax package (described further in the “MCO Tax Budget Solution” section of this report), the Legislature established a plan to spend the resulting funds in trailer bill legislation (Chapter 42 of 2023 [AB 118, Committee on Budget]). Under the plan, a sizable portion of funds are designated to support augmentations to Medi‑Cal and other health programs. Below, we describe the major Medi‑Cal augmentations.
A Provider Payment Increase for Specified Services Was Enacted in the 2023‑24 Budget. Under the trailer legislation, the MCO tax package supports a provider payment increase, effective January 2024. The increase, currently estimated to cost $291 million MCO tax funds annually, specifically sets Medi‑Cal fee‑for‑service rates for primary care, maternity care, and non‑specialty mental health services at least at 87.5 percent of the comparable rate in Medicare. The legislation also requires managed care plans to pay at this level for these services. In the box below, we describe how DHCS has implemented the new policy. (In addition to increasing Medi‑Cal provider payments, the legislation enacted two other MCO tax‑funded augmentations—$75 million ongoing for graduate medical education programs at UC and $200 million one time in 2023‑24 for hospital relief programs at the Department of Health Care Access and Information.)

Implementation Update on 2024 Provider Payment Increases
Department Recently Released Fee‑for‑Service Rate Schedule. On December 1, 2023, the Department of Health Care Services (DHCS) published new fee‑for‑service rates for codes related to primary care, obstetric care, and non‑specialty mental health care. DHCS set these rates at 87.5 percent of what Medicare pays, as required under state law. To set these rates, DHCS included both existing base rates and Proposition 56‑supported supplemental rates. The rates also were set at the lowest regional Medicare rate. (Medicare varies its rates for California among 32 localities, intended to reflect differences in regional cost.) As an exception, DHCS did not adjust rates (after accounting for Proposition 56 funds) that already exceeded the Medicare benchmark.
Managed Care Plans Have Longer Time Line to Adopt Payment Increases.
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Effective January 1, 2014, in accordance with Government Codes 18973.1 and 18973.5, Veterans’ Preference will be awarded as follows: 1) Any veteran, widow or widower of a veteran, or spouse of a 100 percent disabled veteran, who achieves a passing score in an entrance examination, shall be ranked in the top rank of the resulting eligibility list. Any veteran who has been dishonorably discharged or released is not eligible for Veterans’ Preference. 2) An entrance examination is defined, under the law, as any open competitive examination. And 3) Veterans’ Preference is not granted once a person achieves permanent civil service status. Veteran status is verified by the California Department of Human Resources (CalHR). Directions to apply for Veterans’ Preference are on the Veterans’ Preference Application (Std. Form 1093), which is available at http://jobs.ca.gov/Job/VeteransInformation, and the Department of Veterans Affairs. 

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