Report 2012-122 Recommendation 16 Responses

Report 2012-122: Mental Health Services Act: The State's Oversight Has Provided Little Assurance of the Act's Effectiveness, and Some Counties Can Improve Measurement of Their Program Performance (Release Date: August 2013)

Recommendation #16 To: Health Care Services, Department of

To improve the quality of county processes related to measuring program performance, Health Care Services should use its performance contracts with counties to ensure that they specify MHSA program goals in their plans and annual updates and include those same goals in their contracts with program providers.

1-Year Agency Response

The FY 2014-15 Performance Contract provides that county contracts with providers shall include the performance goals from the County's three-year program and expenditure plan and annual updates.

DHCS will audit the counties for compliance as part of program reviews. DHCS continues to draft regulations to ensure MHSA-funded contract providers have contractual goals that are consistent with the approved three-year program and expenditure plans and annual updates.

  • Completion Date: July 2014
  • Response Date: August 2014

California State Auditor's Assessment of 1-Year Status: Fully Implemented


6-Month Agency Response

The Performance Contract provides that county contracts with providers shall include the performance goals from the Countys three-year program and expenditure plan and annual updates that apply to each providers programs and services.

DHCS continues to draft regulations to ensure MHSA-funded contract providers have contractual goals that are consistent with the approved three-year program and expenditure plans and annual updates. After regulations are promulgated, DHCS will audit the counties for compliance.

  • Estimated Completion Date: Fall 2014
  • Response Date: February 2014

California State Auditor's Assessment of 6-Month Status: Partially Implemented


60-Day Agency Response

The Performance Contract provides that county contracts with providers shall include the performance goals from the County's three-year program and expenditure plan and annual updates that apply to each provider's programs and services. The Performance Contract will be sent to the counties for signature approval in September 2013. The time required to fully execute this contract will depend on how quickly each county is able to gain Board of Supervisor approval. In the next report, this recommendation's implementation status will be updated with the number of counties that have fully executed their Performance Contract.

DHCS is also drafting regulations to ensure MHSA-funded contract providers have contractual goals that are consistent with the approved three-year program and expenditure plans and annual updates. Draft regulations will be made available for public comment in the spring of 2014. We anticipate that final regulations will be adopted during the fall of 2014.

  • Estimated Completion Date: Fall 2014
  • Response Date: October 2013

California State Auditor's Assessment of 60-Day Status: Partially Implemented


All Recommendations in 2012-122

Agency responses received are posted verbatim.


Report type

Report type
















© 2013, California State Auditor | Privacy Policy | Conditions of Use | Download Adobe PDF Reader