RSA-722: Annual Report on Appeals Process for California 2013

I. Mediation

A. Request for Mediation

1. Pending requests for mediation, October 1 (carryover from prior fiscal year)6
2. New requests for mediation, October 168
3. Total requests for mediation this fiscal year74

B. Disputes Resolved during Mediation Process

1. Disputes settled prior to the development of a written agreement19
2. Disputes resulting in a written mediation agreement24
3. Total disputes resolved during mediation process43
4. Disputes not resolved during mediation process27

C. Mediation Request Carried Over

1. Mediation requests pending resolution, September 304

II. Impartial hearing process

A. Requests for Impartial Hearings

1. Pending Impartial hearing requests, October 122
2. New requests for impartial hearings since October 176
3. Total requests for impartial hearings this fiscal year98
4. Number from Line II.A3 which had also been through the mediation process this fiscal year62

B. Disputes Resolved during Impartial Hearing Process

1. Disputes resolved without IHO decision43
2. IHO decisions favoring the individual4
3. IHO decisions favoring the agency27
4. Total IHO decisions31
5. Total disputes resolved during impartial hearing process74
6. Disputes not resolved during impartial hearing process3

C. Impartial Hearing Requests Carried Over

1. Impartial hearing requests pending, September 3021

III. Review of IHO decisions

Has your agency established a process for review of IHO decisions? N

A. Requests for Review of IHO Decisions:

1. Requests for review of IHO decisions in process, October 10
2. New requests for review of IHO decisions since October 10
3. Total requests for review of IHO decisions this fiscal year0

B. Reviews of IHO Decisions Completed

1. IHO decisions favoring the individual sustained0
2. IHO decisions favoring the individual reversed0
3. IHO decisions favoring the agency sustained0
4. IHO decisions favoring the agency reversed0
5. Total reviews of IHO decisions completed0
6. IHO decisions not reviewed0

C. Reviews of IHO Carried Over

1. Reviews of IHO decisions pending, September 300

IV. Civil actions

A. Civil Actions Filed

1. Civil actions pending, October 10
2. New civil actions filed this fiscal year3
3. Total civil actions this fiscal year3

B. Civil Actions Resolved

1. Civil actions resolved in individual favor (sustaining final administrative decision)0
2. Civil actions resolved in individual favor (reversing final administrative decision)0
3. Civil actions resolved in agency favor (sustaining final administrative decision)1
4. Civil actions resolved in agency favor (reversing final administrative decision)0
5. Total civil actions resolved1
6. Civil actions not resolved2

C. Civil Actions Carried Over

1. Civil actions pending, September 300

V. Types of complaints/issues involved in disputes

Type Mediation
Impartial Hearings
Reviews of IHO Decisions
Civil Actions
1. Applicant eligibility for VR 8 11 0 0
2. Nature/contents/scope of IPE 29 34 0 1
3. Quality of counseling services 1 1 0 0
4. Delivery/quality of other VR services 14 17 0 0
5. Cost of services 34 39 0 0
6. Termination of services/service record closure 23 28 0 0
7. All other complaints/issues 13 21 0 2

Certification

Approved

Last NameLee
First NameJuney
Phone Number916-558-5802
Signed?Yes
Signed Date11/08/2013

Sharon O’Sullivan, Appeals Analyst Legal Affairs and Regulations Tel: 916-558-5498 Fax: 916-558-5861 Email: sosulliv@dor.ca.gov