Report 2023-103 Recommendation 7 Responses

Report 2023-103: The Comprehensive Perinatal Services Program: The Lack of Usage Data Prevents the State From Knowing How Often Medi‑Cal Members Receive Perinatal Care (Release Date: February 2024)

Recommendation #7 To: Public Health, Department of

By December 2024, Public Health should develop and implement a system to sufficiently verify the survey responses provided by fee-for-service providers. For example, Public Health could conduct chart reviews annually on a selection of fee-for-service providers who have completed its survey to ensure the accuracy of responses. To the extent that such oversight could be provided through a partnership with Health Care Services, Public Health should seek such a collaboration.

6-Month Agency Response

Public Health implemented the first annual CPSP Provider Survey, which was designed for provider oversight purposes.

Public Health is working to maximize survey response rates by actively billing providers, including cross-referencing with administrative data received from Health Care Services.

California State Auditor's Assessment of 6-Month Status: Pending

60-Day Agency Response

Public Health will establish procedures for chart reviews to verify a sample of Public Health provider survey responses. Public Health will work with Health Care Services to align with their procedures. Public Health's procedures for chart review may involve identification of provider and beneficiary selection methods to inform an annual request to Health Care Services for perinatal service utilization reports. Public Health will develop and implement a system by December 2024.

California State Auditor's Assessment of 60-Day Status: Pending

All Recommendations in 2023-103

Agency responses received are posted verbatim.