Ms. Virginia Armstrong
Consumer Service Representative
Health Plan Division
Department of Corporations,
320 West 4th Street
Los Angeles, CA 90013-1105
(213) 576-7145  (213) 576-7500

RE:  Your letter 9/24/99, RFA 38033.

On August 19th I mailed into the DOC an RFA application based on call ID 78571.  Does your letter refer to this application?
This call ID number was issued in writing by Juanita Hampton on 2/24/99.
It is very important that the RFA associated with call ID 78751 remains open.
On 4/26/99 this call ID was reissued by the Consumer Survey Unit, followed by 78572, and preceded by 78569 and 78570 on the same date.  Of these four call IDs, only 78571 was activated 8/19/99 by CERTIFIED MAIL, one day before Miss Moon's letter of 8/20/99.
On July 9th, Miss Moon and I conversed by phone, mostly in regard to another RFA (RFA 7478, which was opened up by letter from Jerry Todd, May 30, 1997).  She explains this in her August 6, 1999 letter, inadvertently making reference to DOC RFA NO: 35225, which is the issue of the bed.  Her next letter to me, which you kindly provided reference attached, dated August 20, 1999, reiterates the DOC's purpose in these matters, makes reference to a March 9, 1999 review of one or the other issues.  This is not entirely clear in her letter.  What is clear is that she is citing numerous reasons justifying the closure of this RFA.  One of these reasons, which she stresses in her August 20th letter, is my failure to provide authorization for the release of medical records.
In her letter of 2/24/99, Miss Hampton stressed that the Medical Authorization Form is not required.  Also, these authorization forms were provided in prior RFAs which Miss Moon includes in her August 20th letter, presumably remaining internal to the DOC.  I also explained to Miss Moon on the phone, that there are no medical records during my wife's period of abandonment by Maxicare nor directly thereafter when the plan was under the auspices of CareAmerica/Blue Shield, and that the only records are my records when the patient was at home.
On several occasions, I have requested information clarifying these matters from your Chief Administrative Officer, but as yet they have not responded.
As you must imagine, it is virtually impossible for me to track your in-house procedures, and know which issue and respective RFA you are referencing at a given moment.
I am also confused as to the issuance of two call ID exactly the same, six months apart.
To my knowledge, any RFA based upon call ID issued after August 19, 1999, is unknown to me, though now I believe you have assigned it the RFA #38033 and now immediately closing it before I even knew it was active.  If as you write, it has already been investigated February 25, 1999, you were never provided with a filled in Request For Assistance Form nor answers to Question 10, essential to any ongoing investigation.
Making reference to RFA 38033 per your letter dated and signed by you September 24, 1999,  you refer to a several months of delay where in fact, if you had made reference to the incoming application assigned RFA 38033 per call ID 78571, you would have seen that her bed was delayed by almost two years.  Also, as you know, the issue of the bed being paid through a negotiated payment as acceptable resolution, is in violation of California Code of Regulations 1357.08 Required Basic Health Care Services, subdivision (b), Standards 1367 g, that medical decisions by qualified medical providers are not administrative nor fiscal.
Again I ask that this RFA remains open so that it can be properly investigated.
 

Sincerely,

Joel Webb
Joel Webb, 910-20th Street, Santa Monica, CA 90403