The California Department of Health has issued a new All Facilities Letter informing long-term care health facilities that Transfer/Discharge Appeals (TDA) and Refusal to Readmit (RTR) appeal hearings are now the full responsibility of the Office of Administrative Hearings and Appeals (OAHA) within the Department of Health Care Services (DHCS). This change took effect on March 1, 2010. Facilities must now modify their notification letters to delete references to the Licensing and Certification (L&C) District Office as the point of contact for appeals and include references to OAHA instead. If a resident or their authorized representative requests an appeal hearing, L&C staff will provide the OAHA main office with the necessary information. Facilities must also provide OAHA with the required information if they learn that a resident desires an appeal. Questions regarding the TDA and RTR appeal hearing process should be referred to the OAHA Unit.

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