Valley Mountain Regional Center
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Appeals

Our Commitment to Teamwork

At Valley Mountain Regional Center one of our codes of ethics is teamwork. We are committed to working as a team with our colleagues and community and the cornerstone of teamwork is mutual respect. While our roles are often separate, we will focus on common goals, sharing equally in the benefits and daily challenges of making difficult decisions.

When We Disagree

Sometimes despite our best efforts, there may be a time when we just can’t agree with each other. This can happen in any relationship. We don’t take it personal and we hope you don’t either. Luckily the Lanterman Act was prepared for this event as well and has designed an appeal process aimed at protecting the rights of people with disabilities and their families.

If this happens, clients or families may ask us to review our decision, to make sure all information was considered. We will make every effort to resolve disagreements informally, through discussion with your Service Coordinator, or their supervisor. A VMRC Service Coordinator can also provide our clients/families with information on how to contact the Office of Client Rights Advocacy, if there are complaints about how services are provided.

If the matter continues to be unresolved, our Assistant Directors with several years of experience will work with you to try to resolve the dispute in an informal mediation. If we are unable to resolve concerns informally, clients may ask the regional center to review our decision through the appeal process. An appeal is a formal request for someone to change a decision about an individualā€™s eligibility for services, or about the services he or she receives.

You have the right to appeal our decisions and we will support you in exercising that right. If this issue is still not settled our Compliance Manager may meet with you in a more formal setting which could either include more mediation or state level fair hearing between you and our Compliance Manager with a California Administrative Law Judge who will make a ruling to end the dispute process.

You have the right to appeal our decisions and we will support you in exercising that right. If this issue is still not settled our Compliance Manager may meet with you in a more formal setting which could either include more mediation or state level fair hearing between you and our Compliance Manager with a California Administrative Law Judge who will make a ruling to end the dispute process.

Great Resources for You About Your Appeals Rights

The Department of Developmental Services believes the California developmental services community is best served by the open exchange of information and opinions. DDS is also committed to providing mechanisms for the resolution of problems and complaints when they arise. A number of formal processes have been established for handling appeals and complaints.  Click for the DDS Appeals Page

Types of Appeals

There are different dispute resolution and complaint processes depending on the service or if you are a consumer, family member, or service provider.  Below are some helpful links to these processes:

Consumer and Family Complaint
Consumer Denial of Personal Rights
Fair Hearing
Early Start Complaint
Early Start Mediation Conference
Early Start Due Process
Provider Vendorization Appeal
Residential Provider Facility Appeal
Provider Rate Appeal

Appeal Outcomes

Below is an ongoing tally of the types of appeals and the outcomes at Valley Mountain Regional Center. To view the required report that the Department of Developmental Services publishes to the community, click here. Also this information is shared more regularly with our Board of Directors Consumer Services Committee and their information can be found here.

Date RC Received Fair Hearing Fair Hearing Issue Date of Resolution or Withdrawal Outcome

1/04/2022

Eligibility

NA

Pending

12/28/2021

Intensive ABA

NA

Pending

12/22/2021

Eligibility

01/11/2022

RC agreed to conduct further testing based off of new information received in the Informal Meeting

12/6/2021

Eligibility

1/12/2022

Withdrawn to pursue further testing

11/3/2021

Personal Assistance Hours

11/18/2021

RC agreed to fund prior to informal meeting

11/3/2021

Personal Assistance Hours

11/18/2021

RC agreed to fund prior to informal meeting

10/30/2021

Sleep Safe Bed

01/10/2022

Funded through consumer’s insurance

10/07/2021

ABA Co-Pays

12/16/2021

Claimant withdrew at end of State Level Hearing

9/20/2021

Respite Hours

9/30/2021

Claimant withdrew after Informal Meeting.

9/09/2021

Eligibility

9/13/2021

Reopened for eligibility review prior to Informal Meeting

9/01/2021

Eligibility

9/10/2021

Reopened for eligibility review prior to Informal Hearing

8/13/2021

Personal Assistance Hours

11/22/2021

Claimant withdrew prior to state level hearing.

7/20/2021

SSP Restoration

7/22/2021

RC agreed to fund prior to Informal Meeting due to change in circumstances.

7/16/2021

Eligibility

8/05/2021

Claimant submitted new information and was reopened for eligibility determination.

7/12/2021

Speech Therapy Co-Pays

9/10/2021

RC provided service following Informal Meeting and submission of further documentation.

6/10/2021

Respite Hours

8/18/2021

Agreement reached in Informal Meeting

05/14/2021

ABA co-pays

8/27/2021

OAH dismissed at State Level Hearing

05/14/2021

SDP-pool

6/18/2021

Resolution at Mediation

04/22/2021

Eligibility

11/4/2021

Determined eligible after receiving additional reports

04/16/2021

Van Conversion

05/05/2021

Claimant withdrew prior to Informal meeting

04/09/2021

ABA services

7/20/2021

Agreement reached after further information was received by RC.

04/07/2021

ABA co-pays

04/22/2021

RC provided service at Informal meeting

03/16/2021

Second Opinion Evaluation

05/03/2021

OAH dismissed issue at State Level Hearing

03/03/2021

Eligibility

04/01/2021

RC made eligible at Informal meeting

01/29/2021

EIBT Services

02/04/2021

RC provided service at Mediation

01/25/2021

Respite Reimbursement

03/26/2021

RC provided service after Informal meeting

01/25/2021

Respite reimbursement

03/26/2021

RC provided service after Informal meeting

01/19/2021

Out of home placement

02/01/2021

RC provided service at Informal meeting

01/15/2021

Eligibility

02/09/2021

Claimant withdrew without prejudice after Informal meeting

12/3/2020

Home Modification

12/23/2020

RC provided service at Informal meeting

10/20/2020

Autism Assessment

11/5/2020

Claimant withdrew without prejudice prior to Informal meeting

9/10/2020

Eligibility

12/18/2020

Claimant withdrew without prejudice at Informal meeting

9/1/2020

Intake application

1/13/2021

RC provided service at Informal meeting

8/19/2020

Co Pays

9/11/2020

RC provided service at Informal meeting

8/3/2020

Eligibility

8/21/2020

Claimant withdrew without prejudice after Informal meeting

7/30/2020

Eligibility

8/31/2020

RC made eligible at Informal meeting

7/7/2020

Eligibility

7/16/2020

Claimant withdrew without prejudice at Informal meeting

6/8/2020

Behavioral Services

6/22/2020

RC provided service at Informal meeting

6/4/2020

Behavioral Services

6/19/2020

RC provided service at Informal meeting

5/20/2020

Eligibility

5/27/2020

Claimant withdrew without prejudice at Informal meeting

4/30/2020

Behavioral Services

5/29/2020

RC provided service at Informal meeting

4/29/2020

Therapy

11/10/2020

Claimants appeal denied at State Level Hearing

4/27/2020

Eligibility

1/29/2021

RC provided eligibility assessment at Informal meeting

4/20/2020

Transportation

11/10/2020

Claimants appeal denied at State Level Hearing

3/20/2020

HCBS Waiver

5/19/2020

RC partially funded requested service at Informal meeting

3/16/2020

Eligibility

4/13/2020

Claimant withdrew without prejudice at Informal meeting

2/27/2020

Eligibility

1/5/2021

RC made eligible prior to State Level Hearing

2/20/2020

Transportation

3/6/2020

RC partially funded requested service at Informal meeting

2/4/2020

Stair Lift Track

2/12/2020

RC partially funded service at Informal meeting

2/3/2020

Eligibility

5/26/2020

Claimant withdrew without prejudice after Informal meeting

1/29/2020

Eligibility

2/10/2020

Claimant withdrew

1/21/2020 Eligibility 2/18/2020 Eligibility denied at Informal Meeting
1/13/2020 Eligibility 2/20/2020 Claimant withdrew without prejudiceĀ 
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