Annual Beneficiary Grievance and Appeal Report (ABGAR)
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.
Complete Metadata
| @type | dcat:Dataset |
|---|---|
| accessLevel | public |
| contactPoint |
{
"fn": "Medi-Cal Behavioral Health Division",
"@type": "vcard:Contact",
"hasEmail": "mailto:opendata@dhcs.ca.gov"
}
|
| 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. |
| distribution |
[
{
"@type": "dcat:Distribution",
"title": "Expedited Appeal Type – County and Statewide",
"format": "CSV",
"mediaType": "text/csv",
"describedBy": "https://data.ca.gov/api/action/datastore_search?resource_id=4a8d7a9a-3c97-4d8a-91a5-207d37bfcb2c&limit=0",
"description": "This file contains statewide and county-specific expedited appeals data reported by Mental Health Plans (MHP), sorted by Fiscal Year (FY), and category.",
"downloadURL": "https://data.chhs.ca.gov/dataset/8ec72871-4012-49cd-9ed6-1b6ebd7a77d1/resource/7a3d226d-6104-435f-96f7-6b2f740a67d5/download/expeditedappeals_11.22.21.csv",
"describedByType": "application/json"
},
{
"@type": "dcat:Distribution",
"title": "Grievance Type – County and Statewide",
"format": "CSV",
"mediaType": "text/csv",
"describedBy": "https://data.ca.gov/api/action/datastore_search?resource_id=630ab0f5-28b3-4934-8168-f14511830cc1&limit=0",
"description": "This file contains statewide and county-specific grievance data reported by Mental Health Plans (MHP), sorted by Fiscal Year (FY), category, and types.",
"downloadURL": "https://data.chhs.ca.gov/dataset/8ec72871-4012-49cd-9ed6-1b6ebd7a77d1/resource/cadd54c3-7e7e-46dc-91f6-b484f2345a63/download/grievances-exemptgriev_11.22.21.csv",
"describedByType": "application/json"
},
{
"@type": "dcat:Distribution",
"title": "Notice of Adverse Benefit Determination (NOABD) Type – County and Statewide",
"format": "CSV",
"mediaType": "text/csv",
"describedBy": "https://data.ca.gov/api/action/datastore_search?resource_id=a4a538a4-959d-46ac-941c-59023f14dca9&limit=0",
"description": "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).",
"downloadURL": "https://data.chhs.ca.gov/dataset/8ec72871-4012-49cd-9ed6-1b6ebd7a77d1/resource/80c5839d-851a-42f9-b68b-9da43244c623/download/noabd_11.22.21.csv",
"describedByType": "application/json"
},
{
"@type": "dcat:Distribution",
"title": "Appeal Type – County and Statewide",
"format": "CSV",
"mediaType": "text/csv",
"describedBy": "https://data.ca.gov/api/action/datastore_search?resource_id=ade50d86-fa9c-412d-a43e-7785478071e4&limit=0",
"description": "This file contains statewide and county-specific appeal data reported by Mental Health Plans (MHP), sorted by Fiscal Year (FY), and category.",
"downloadURL": "https://data.chhs.ca.gov/dataset/8ec72871-4012-49cd-9ed6-1b6ebd7a77d1/resource/0199a099-b55b-4105-b775-a20ea2f2c918/download/appeals_11.22.21.csv",
"describedByType": "application/json"
},
{
"@type": "dcat:Distribution",
"title": "Data Dictionary - Expedited Appeal Type – County and Statewide",
"format": "CSV",
"mediaType": "text/csv",
"description": "Data Dictionary for https://data.chhs.ca.gov/dataset/8ec72871-4012-49cd-9ed6-1b6ebd7a77d1/resource/7a3d226d-6104-435f-96f7-6b2f740a67d5/download/expeditedappeals_11.22.21.csv",
"downloadURL": "https://data.ca.gov/datastore/dictionary_download/4a8d7a9a-3c97-4d8a-91a5-207d37bfcb2c",
"isDataDictionary": true
},
{
"@type": "dcat:Distribution",
"title": "Data Dictionary - Notice of Adverse Benefit Determination (NOABD) Type – County and Statewide",
"format": "CSV",
"mediaType": "text/csv",
"description": "Data Dictionary for https://data.chhs.ca.gov/dataset/8ec72871-4012-49cd-9ed6-1b6ebd7a77d1/resource/80c5839d-851a-42f9-b68b-9da43244c623/download/noabd_11.22.21.csv",
"downloadURL": "https://data.ca.gov/datastore/dictionary_download/a4a538a4-959d-46ac-941c-59023f14dca9",
"isDataDictionary": true
},
{
"@type": "dcat:Distribution",
"title": "All resource data",
"format": "ZIP",
"mediaType": "application/zip",
"downloadURL": "https://data.chhs.ca.gov/dataset/8ec72871-4012-49cd-9ed6-1b6ebd7a77d1/resource/65096e68-d702-498d-899f-72da42b5742d/download/annual-beneficiary-grievance-and-appeal-report-abgar-48ccmq4v.zip"
}
]
|
| identifier | 7799e032-b3af-469c-b5c7-47287786243c |
| issued | 2021-03-10T23:58:26.517347 |
| keyword |
[
"ABGAR",
"DHCS",
"MPH",
"SMHS",
"california department of health care services"
]
|
| license | http://www.opendefinition.org/licenses/cc-by |
| modified | 2025-11-06T23:02:11.965289 |
| publisher |
{
"name": "California Department of Health Care Services",
"@type": "org:Organization"
}
|
| theme |
[
"Health and Human Services"
]
|
| title | Annual Beneficiary Grievance and Appeal Report (ABGAR) |
