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California State Auditor Logo COMMITMENT • INTEGRITY • LEADERSHIP

Department of Health Care Services
It Paid Billions in Questionable Medi-Cal Premiums and Claims Because It Failed to Follow Up on Eligibility Discrepancies

Report Number: 2018-603

Selected Abbreviations Used in This Report

CalHEERS California Healthcare Eligibility, Enrollment, and Retention System
CalWIN CalWORKs Information Network
CalWORKs California Work Opportunity and Responsibility to Kids
LRS LEADER Replacement System
MEDS Medi-Cal Eligibility Data System
Medi-Cal California Medical Assistance Program
SAWS Statewide Automated Welfare System
SSI/SSP Supplemental Security Income/State Supplementary Payment