Report 2013-119 Recommendation 24 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 #24 To: Health Care Services, Department of

To prevent the certification of ineligible providers, Health Care Services should immediately develop a schedule for recertifying all program providers every five years.

Annual Follow-Up Agency Response From August 2017

DMC providers will be able to use PAVE phase/version 3.0 for their enrollment needs. This has been moved up from the original plan to include DMC providers in phase/version 3.5. PAVE phase/version 3.0 is expected to go live on January 23, 2018. The PAVE portal will automatically issue continued enrollment notices for providers when their continued enrollment is due.

  • Estimated Completion Date: 1/23/18

California State Auditor's Assessment of Annual Follow-Up Status: Pending

Date of implementation is set for January 23, 2018.


Annual Follow-Up Agency Response From October 2016

DHCS will conduct a revalidation of all DMC program providers at least once every five years. For the last two years, DHCS has been engaged in the development of a web-based automated enrollment system to manage the workload more efficiently. The web-based enrollment system Provider Application and Validation for Enrollment (PAVE) system will be rolled out in phases. DMC is in phase 3.5 and expected to go live in Fall of 2017.

  • Estimated Completion Date: October 2017

California State Auditor's Assessment of Annual Follow-Up Status: Not Fully Implemented


1-Year Agency Response

DHCS will conduct a revalidation of all DMC program providers at least once every five years. For the last two years, DHCS has been engaged in the development of a web-based automated enrollment system to manage the workload more efficiently.

DHCS seeks to implement the automated enrollment system in summer 2015. This automated system will identify providers who are due for recertification.

  • Estimated Completion Date: December 2015
  • Response Date: August 2015

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

Date of implementation is set for December 2015.


6-Month Agency Response

DHCS will conduct a revalidation of all DMC program providers at least once every five years. For the last two years, DHCS has been engaged in the development of a web-based automated enrollment system to manage the workload more efficiently.

DHCS seeks to implement the automated enrollment system in Summer 2015. This automated system will identify providers who are due for recertification.

  • Estimated Completion Date: Summer 2015
  • Response Date: February 2015

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


60-Day Agency Response

DHCS seeks to implement the automated enrollment system in Spring 2015. This automated system will identify providers who are due for recertification.

  • Estimated Completion Date: Spring 2015
  • Response Date: October 2014

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

Based on its response, the department has not yet implemented this recommendation.


All Recommendations in 2013-119

Agency responses received are posted verbatim.


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