Report 2013-119 Recommendation 32 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 #32 To: Health Care Services, Department of
To improve the coordination between its divisions, branches, and units and ensure that it addresses allegations of fraud in a timely manner, Health Care Services should continue its efforts to establish a mechanism for its PSPP unit to report the status of fraud referrals to SUD management and its investigations division.
60-Day Agency Response
PSPP has created a Complaint Process, Complaint Log, and a Complaint and Fraud referral form that transmits all complaints to A&I.
- Completion Date: September 2014
- Response Date: October 2014
California State Auditor's Assessment of 60-Day Status: Fully Implemented
To the extent that Health Care Services follows the steps of its complaint and fraud referral process, it can help ensure that it is divisions, branches, and units are coordinating effectively.
Agency responses received are posted verbatim.