Report 2006-110 Recommendation 8 Responses

Report 2006-110: Department of Health Services: It Needs to Improve Its Application and Referral Processes When Enrolling Medi-Cal Providers (Release Date: April 2007)

Recommendation #8 To: Health Services, Department of

The branch, with direction from the department, should align the reasons available in PETS for which it may refer an application with its fraud indicators and high-risk checklists to better track the appropriateness of its high-risk checklists and update the fraud indicators as trends in fraud change over time.

1-Year Agency Response

The branch reports that it is working collaboratively with the Medical Review Branch to evaluate the fraud indicator checklists on a quarterly basis using findings from the ongoing risk assessment analyses and the annual Medi-Cal Payment Error Study. (2009-406, p. 191)

  • Response Date: April 2008

California State Auditor's Assessment of 1-Year Status: Fully Implemented

All Recommendations in 2006-110

Agency responses received after June 2013 are posted verbatim.