Annual Beneficiary Grievance and Appeal Report (ABGAR)

Description

The Annual Beneficiary Grievance and Appeal Report Statewide Summary includes aggregate and county-specific totals of Specialty Mental Health Services (SMHS) Medi-Cal beneficiary grievances, appeals, expedited appeals by category, and Notices of Adverse Benefit Determinations (NOABD) issued by County Mental Health Plans (MHP). The report was compiled from data reported by each MHP that are used to compile the statewide summary.

Resources

Name Format Description Link
Appeal Type – County and Statewide CSV This file contains statewide and county-specific appeal data reported by Mental Health Plans (MHP), sorted by Fiscal Year (FY), and category. Open resource
All resource data ZIP annual-beneficiary-grievance-and-appeal-report-abgar-55kyjc.zip Open resource
All resource data ZIP annual-beneficiary-grievance-and-appeal-report-abgar-p_f2lxtp.zip Open resource
Expedited Appeal Type – County and Statewide CSV This file contains statewide and county-specific expedited appeals data reported by Mental Health Plans (MHP), sorted by Fiscal Year (FY), and category. Open resource
Notice of Adverse Benefit Determination (NOABD) Type – County and Statewide CSV This file contains statewide and county-specific totals of Notice of Adverse Benefit Determination issued by Mental Health Plans (MHP) to Medi-Cal beneficiaries for Specialty Mental Health Services (SMHS), each Fiscal Year (FY). Open resource
Grievance Type – County and Statewide CSV This file contains statewide and county-specific grievance data reported by Mental Health Plans (MHP), sorted by Fiscal Year (FY), category, and types. Open resource

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