Report 2009-118 Recommendations and Responses in 2013-041

Report 2009-118: Department of Developmental Services: A More Uniform and Transparent Procurement and Rate-Setting Process Would Improve the Cost-Effectiveness of Regional Centers

Department Number of Years Reported As Not Fully Implemented Total Recommendations to Department Not Implemented After One Year Not Implemented as of 2012-041 Response Not Implemented as of Most Recent Response
Department of Developmental Services 3 17 2 2 2

Recommendation To: Developmental Services, Department of

To ensure that consumers receive high-quality, cost-effective services that meet the goals of their individual development plans (IPPs) consistent with state law, Developmental Services should require the regional centers to document the basis of any IPP-related vendor selection and specify which comparable vendors (when available) were evaluated.

Response

As previously reported, the Department of Developmental Services (DDS) does not believe it has legal authority to implement the California State Auditor's recommendation as it would place DDS in a role inconsistent with the intent of the Lanterman Developmental Disabilities Services Act (Lanterman Act). The Lanterman Act delegates a great deal of decision making to the regional centers. By design, DDS does not have a direct role in the Individual Program Plan (IPP) development and if DDS required extensive documentation of one factor and not all factors considered in the IPP process, this would likely lead to litigation that DDS has overstepped its authority. Though DDS does not believe it can intercede in the IPP process, it will use its oversight authority to ensure adherence to the law. DDS has issued a directive on August 16, 2010 to regional centers to update their internal review process and associated policies and procedures to ensure the regional centers' compliance with all current statutes. The directive also requires regional centers to inform their staff of the updates to its policies and procedures.

  • California State Auditor's Assessment of Status: Will Not Implement
  • Response Date: October 2013

Recommendation To: Developmental Services, Department of

To ensure that consumers receive high-quality, cost-effective services that meet the goals of their IPPs consistent with state law, Developmental Services should review a representative sample of this documentation as part of its biennial waiver reviews or fiscal audits to ensure that regional centers are complying with state law—and particularly with the July 2009 amendment requiring selection of the least costly available provider of comparable service.

Response

As stated in the response to the previous recommendation and as previously reported, DDS does not believe it can intercede in the IPP process, but will use its oversight authority to ensure adherence to the law. DDS has issued a directive on August 16, 2010 to regional centers to update their internal review process and associated policies and procedures to ensure the regional centers' compliance with all current statutes. The directive also requires regional centers to inform their staff of the updates to its policies and procedures. In addition, DDS's review of regional centers' purchase of service policies for compliance with law is an ongoing process which includes ensuring regional centers are implementing the least costly provision contained in statute.

  • California State Auditor's Assessment of Status: Will Not Implement
  • Response Date: October 2013

Current Status of Recommendations

All Recommendations in 2013-041