Report 2006-110 Recommendation 2 Responses
Report 2006-110: Department of Health Services: It Needs to Improve Its Application and Referral Processes When Enrolling Medi-Cal Providers (Release Date: April 2007)
Recommendation #2 To: Health Services, Department of
The branch should modify PETS data to track the length of time applications it recommends for denial remain in the policy section for review, to ensure that it does not automatically enroll or pay the claims of ineligible providers when the review does not occur in a timely manner.
1-Year Agency Response
The branch states that it has modified the PETS and created a policy denial report that is reviewed on a weekly basis and now includes a tracking capability to ensure that no applications subject to denial are allowed to default. (2009-406, pp. 188-189)
- Response Date: April 2008
California State Auditor's Assessment of 1-Year Status: Fully Implemented
Agency responses received after June 2013 are posted verbatim.