Tsev Cov Ntawv, Cov Cai, thiab Cov Ntawv Tshaj Tawm  Cov Cai thiab Cov Kev Cai Kev Hloov Chaw Tso Tawm thiab Kev Tsis Kam Rov Qab Mus Rau Chav Rov Qab Mus Nyob​​ 

Hloov pauv thiab tsis kam mus rau Readmit Unit​​ 

Lub Chaw Haujlwm Saib Xyuas Kev Ncaj Ncees thiab Kev Txiav Txim Siab (OAHA) yog lub luag haujlwm rau kev txiav txim plaub ntug ntawm cov neeg nyob hauv uas ntsib qhov chaw pib hloov chaw lossis tso tawm ntawm lawv lub tsev laus, lossis nws lub tsev laus tau tsis kam lees txais tus neeg nyob hauv tsev tom qab lub sijhawm pw hauv tsev kho mob lossis kev kho mob.​​ 

Transfer or Discharge Appeals (TDA)​​ 

Under federal and state law, when a nursing facility initiates the transfer or discharge of a nursing home resident, the resident has established rights that must be addressed in order to ensure that the discharge is fair and appropriate.   An essential component to these rights is the right to request a hearing.  Only the resident or a resident’s authorized representative may request a transfer/discharge hearing.  Residents desiring a hearing should submit a request as soon as possible in order for a decision in the matter to be rendered before the proposed date of discharge.​​      

Cov peev txheej:​​ 

Tsis kam lees Readmit (RTR).​​ 

Under federal and state law, when a resident is transferred to the hospital or approved for therapeutic leave, they have a right to return to the nursing facility after they are hospitalized or when the period of therapeutic leave has concluded.  When the resident is hospitalized and the nursing facility refuses to readmit the resident, the resident may request a hearing.  Only the resident or a resident’s authorized representative may request a RTR hearing.  Preferably, an RTR hearing request is submitted to OAHA while the resident is still hospitalized. OAHA conducts RTR hearings only for those residents who wish to return to their nursing facility.​​ 

Cov peev txheej:​​ 

TDA thiab RTR Lub Rooj Sib Hais​​ 

OAHA’s hearing officers conduct the TDA and RTR hearings.  Generally, the hearing is held via telephone. The resident or his/her authorized representative must be present at the hearing.​​ 

The hearing officer controls the course of the proceedings, digitally records the hearing, and takes sworn testimony from participants who are in attendance.  The burden of proof is on the nursing facility to present evidence to support that its action is appropriate and in compliance with prevailing federal and state law.  The resident or his/her representative will have the opportunity to present testimony, including from witnesses that they compel to appear at the hearing.  Only testimony that is relevant to the action will be allowed, at the hearing officer’s discretion.   After conclusion of the hearing, the hearing officer writes the final administrative decision of the Department, known as a Decision & Order.  The Decision & Order will either “grant,” “deny,” or “dismiss” the residents’ appeal and outline the remedy that has been ordered. RTR hearings that are granted in favor of the resident will require the facility to submit a Certification of Compliance with the Department of Health Care Services.​​ 

Cov peev txheej:​​ 

Thov Kev Sib Hais​​ 

Thaum xa daim ntawv thov rooj sib hais, OAHA tus neeg sawv cev yuav nug koj ntau cov lus nug.  Txhawm rau kom tsis txhob ncua sijhawm tsis tsim nyog, thov kom muaj cov ntaub ntawv hauv qab no ua ntej koj thov:​​ 

  • Lub npe tag nrho thiab hnub yug ntawm tus neeg muaj kev cuam tshuam​​ 
  • The name of the resident’s nursing facility and address (if you have it)​​ 
  • Lub npe ntawm lub tsev kho mob yog tias tus neeg nyob hauv tam sim no yog tus neeg mob hauv tsev​​ 
  • If filing an appeal on behalf of a resident, be prepared to provide your contact information and information to demonstrate that you are authorized to make the hearing request. For example, the resident asked you to request the hearing on his or her behalf, or you have a Durable Power of Attorney for the resident’s health care.​​  
  • Rau TDA thov, nws yog qhov zoo dua los sau Daim Ntawv Ceeb Toom Txog Kev Hloov / Tso Tawm muaj nyob rau lub sijhawm koj hu.  Yog tias SNF tsis tau muab tsab ntawv ceeb toom rau koj, thov kom lawv ua li ntawd.​​  
  • Rau RTR thov, muab hnub uas koj hloov los ntawm lub tsev kho mob mus rau lub tsev kho mob thiab hnub tim uas lub tsev laus tsis kam lees txais koj.​​ 

Daim ntawv thov rooj sib hais ua tiav thaum tau txais tag nrho cov ntaub ntawv tsim nyog.  OAHA yuav ceeb toom rau tus neeg nyob hauv thiab lub chaw saib xyuas neeg mob hauv kev sau ntawv ntawm lub sijhawm, hnub tim, thiab qhov chaw ntawm lub rooj sib hais.​​        

To request a hearing, residents or their authorized representative can contact OAHA via telephone at (916) 445-9775, fax at (916) 440-5105, or email at OAHAefax@dhcs.ca.gov, or by using the OAHAE-Filing Portal (coming soon).​​