Report 2013-119 Recommendation 22 Responses
Report 2013-119: California Department of Health Care Services: Its Failure to Properly Administer the Drug Medi-Cal Treatment Program Created Opportunities for Fraud (Release Date: August 2014)
Recommendation #22 To: Health Care Services, Department of
To prevent the certification of ineligible providers, Health Care Services should immediately use a risk-based approach for recertifying program providers.
60-Day Agency Response
DHCS issued a provider bulletin on August 22, 2014 which designated all newly certifying DMC applicants and providers that submit applications for revalidation with the exception of DMC providers operated by governmental entities as high risk. All other DMC providers have been designated as moderate risk. The provider bulleting will become effective September 22, 2014.
- Completion Date: October 2014
- Response Date: October 2014
California State Auditor's Assessment of 60-Day Status: Fully Implemented
Health Care Services has implemented a risk-based approach for recertifying program providers.
Agency responses received are posted verbatim.