Report 2013-119 Recommendation 7 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 #7 To: Health Care Services, Department of

To ensure that the providers receive reimbursement for only valid services, Health Care Services should immediately instruct the counties to remind their providers to adhere to the record retention policies stated in their contracts.

60-Day Agency Response

This item was a topic at the August 14, 2014 County Behavioral Health Director's Association monthly meeting. DHCS has included this item as a monitoring element for the 2014-15 monitoring year. (See County Monitoring Instrument attached) The question "How does the County ensure records are retained in accordance with records retention policies identified in the State/County contract?" (pg. 42, question 20) has been added to the 14/15 County Monitoring Instrument. The monitoring instrument revision has been completed and monitoring reviews will begin in September 2014.

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

To the extent that Health Care Services follows the steps of its updated county monitoring instrument, it can help ensure that counties retain records in accordance with the State/County contract.

All Recommendations in 2013-119

Agency responses received are posted verbatim.