Report 2013-119 Recommendation 25 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 #25 To: Health Care Services, Department of

To prevent the certification of ineligible providers, Health Care Services should immediately continue its implementation of an automated provider enrollment system.

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.

  • 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 continue its implementation of the automated provider enrollment system. The web-based enrollment system Provide Application and Validation for Enrollment (PAVE) system will be rolled out in phases. The initial implementation date is October 2016 with DMC providers added in the phase that is 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 continue its implementation of the automated provider enrollment system. The projected final implementation date is December 2015; however, the automated monthly database checks began in the fall of 2014 for all providers enrolled in the PED PMF.

  • 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 continue its implementation of the automated provider enrollment system. The projected final implementation date is Summer 2015; however, the automated monthly database checks will begin in Fall 2014 for all providers enrolled in the PED PMF.

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

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


60-Day Agency Response

No update.

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

California State Auditor's Assessment of 60-Day Status: No Action Taken

Based on its response, the department has not yet implemented this recommendation. In addition, it has not provided any information to indicate that it has taken any action on this recommendation.


All Recommendations in 2013-119

Agency responses received are posted verbatim.


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