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California State Auditor Logo COMMITMENT • INTEGRITY • LEADERSHIP

Department of Health Care Services
Although Its Oversight of Managed Care Health Plans Is Generally Sufficient, It Needs to Ensure That Their Administrative Expenses Are Reasonable and Necessary

Report Number: 2018-115

Selected Abbreviations Used in This Report

CAP corrective action plan
EQRO external quality review organization
HEDIS Healthcare Effectiveness Data and Information Set
MPL minimum performance level