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.

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.

All Recommendations in 2013-119

Agency responses received are posted verbatim.