Administrative Hearing Office

Notice of Penalty


If you have received a Notice of Penalty, you must either pay it or request an Administrative Hearing within 15 business days of receipt of the Notice (Health Data and Advisory Council Consolidation Act or “Data Act”) or 30 calendar days of the date of the Notice (Prescription Drug Pricing for Purchasers or “CTRx”). Payment should be made by sending a check in the amount indicated on your Notice of Penalty along with a copy of the Notice to:

HCAI/ASD/Accounting
2020 West El Camino Avenue, Suite 1000
Sacramento, CA 95833

Request for Administrative Hearing


If you choose to appeal this penalty, you must request an Administrative Hearing. If you are You must request an administrative hearing within 15 business days of receipt of the Notice of Penalty (Health Data and Advisory Council Consolidation Act or “Data Act”) or 30 calendar days of the date of the Notice (Prescription Drug Pricing for Purchasers or “CTRx”). You may use the Request for Administrative Hearing form enclosed with your Notice of Penalty or download the form here:

You may submit the Request for Administrative Hearing electronically to HearingOfficer@hcai.ca.gov and your program contact or mail your request to:

HCAI Legal Office
ATTN: Hearing Office
2020 West El Camino Avenue, Suite 1217
Sacramento, CA 95833

Please review the Data Act Hearing Procedures or Prescription Drug Pricing for Purchasers Hearing Procedures prior to submitting your appeal.

Request for Consolidation of Appeals


If you are appealing two or more penalties and wish to request consolidation of the proceedings because the facts, circumstances, and issues are similar, you may submit a Request for Consolidation of Appeals Proceedings form. The consolidation request may be submitted electronically to HearingOfficer@hcai.ca.gov and your program contact or you may mail your request to:

HCAI Legal Office
ATTN: Hearing Office
2020 West El Camino Avenue, Suite 1217
Sacramento, CA 95833


If you have any questions, please reach out to the contact listed in your Notice of Penalty letter or the Hearing Office at (916) 326-3610 or HearingOfficer@hcai.ca.gov.

Previous Decisions


COMING SOON: database of Director’s Decisions of the Hearing Office for both Prescription Drug Pricing for Purchasers (CTRx) and Health Data and Advisory Council Consolidation Act (Data Act). Decisions will be uploaded only after the Appellant has been served and the decision has become final. Please note these decisions are not precedential and are for informational use only.

Appeal No.Appellant NameReport TypeAppeal StatusDirector's Decision
21-008-Q2Secura Bio, Inc.Quarterly WAC IncreasePenalty UpheldPDF
21-007-HQFStabler Lane Behavioral HealthQuarterly Financial and UtilizationPenalty WaivedPDF
21-006-HQFCentinela Hospital Medical CenterQuarterly Financial and UtilizationPenalty UpheldPDF
21-004-HAFColusa Medical CenterHospital Annual FinancialPenalty WaivedPDF
21-003-LTCThe Royal HomeLTC Annual FinancialPenalty WaivedPDF
21-001-HQFKindred Hospital San DiegoQuarterly Financial and UtilizationPenalty ReducedPDF
20-040C-LTCUnited Care BasqueLTC Annual FinancialPenalty UpheldPDF
20-039-Q1Acella Pharmaceuticals, LLCQuarterly WAC IncreasePenalty ReducedPDF
20-037C-LTCCorbin Congregate HomeLTC Annual FinancialPenalty WaivedPDF
20-031C-HQFNorthern Inyo Healthcare DistrictQuarterly Financial and UtilizationPenalty WaivedPDF
20-029-Q39NovartisQuarterly WAC IncreasePenalty WaivedPDF
20-028C-HQFKaiser FoundationQuarterly Financial and UtilizationPenalty WaivedPDF
20-023C-Q16Alembic Pharmaceuticals Inc.Quarterly WAC IncreasePenalty ReducedPDF
20-021-Q1Parsolex GMP Center, IncQuarterly WAC IncreasePenalty ReducedPDF
20-018-Q2Boehringer Ingelheim Pharmaceuticals, Inc.Quarterly WAC IncreasePenalty WaivedPDF
20-015-Q2AvKareQuarterly WAC IncreasePenalty WaivedPDF
20-014-Q4Sun Pharmaceutical Industries, Inc.Quarterly WAC IncreasePenalty ReducedPDF
20-010-Q11Supernus Pharmaceuticals, Inc.Quarterly WAC IncreasePenalty UpheldPDF
20-007-HAFPomerado HospitalHospital Annual FinancialPenalty WaivedPDF
20-006-LTCLavista Congregate Living Health FacilityLTC Annual FinancialPenalty WaivedPDF
20-001-LTCHillside HouseLTC Annual FinancialPenalty WaivedPDF
19-021-HQFCommunity Regional Medical CenterQuarterly Financial and UtilizationPenalty UpheldPDF
19-020-LTCMercy Retirement & Care CenterLTC Annual FinancialPenalty UpheldPDF
19-019-LTCAstor Healthcare CenterLTC Annual FinancialPenalty WaivedPDF
19-018-HQFRose Desert Congregate CareQuarterly Financial and UtilizationPenalty ReducedPDF
19-017-LTCParadise Congregate LivingLTC Annual FinancialPenalty WaivedPDF
19-013-HQFCirby Hills Behavioral HealthQuarterly Financial and UtilizationPenalty WaivedPDF
19-012-LTCPacific Haven Subacute and Healthcare CenterLTC Annual FinancialPenalty WaivedPDF
19-008-LTCSan Fernando Post Acute HospitalLTC Annual FinancialPenalty WaivedPDF
19-004C-LTCWhite Oak CLF, Senior Congregate LivingLTC Annual FinancialPenalty WaivedPDF
19-002-HQFAntelope Valley HospitalQuarterly Financial and UtilizationPenalty ReducedPDF
19-001-LTCCamelia Gardens Care CenterLTC Annual FinancialPenalty WaivedPDF
18-013-HQFLoma Linda Univ. Medical Center - MurrietaQuarterly Financial and UtilizationPenalty WaivedPDF
18-012C-LTC-3New Orange HillsLTC Annual FinancialPenalty WaivedPDF
18-012C-LTC-2North Starr Postacute Care, Main West Postacute CareLTC Annual FinancialPenalty UpheldPDF
18-012C-LTC-1Indio Nursing & Rehab Center, Legacy Post-Acute Rehab CenterLTC Annual FinancialPenalty UpheldPDF
18-011-LTCHospice of San JoaquinLTC Annual FinancialPenalty WaivedPDF
18-008-LTCPark Merritt Care CenterLTC Annual FinancialPenalty UpheldPDF
18-006C-HAFBarstow Community HospitalHospital Annual FinancialPenalty UpheldPDF
18-005-LTCNew Orange HillsLTC Annual FinancialPenalty WaivedPDF
18-004C-LTCSt. Rita's HavenLTC Annual FinancialPenalty WaivedPDF
18-003C-LTCHeartwood Avenue HealthcareLTC Annual FinancialPenalty UpheldPDF
18-002-LTCGarden Crest Convalescent HospitalLTC Annual FinancialPenalty WaivedPDF
18-001C-LTCUnited Care Pelona, United Care Minford, United Care BasqueLTC Annual FinancialPenalty WaivedPDF