Report 2014-130 Recommendation 23 Responses

Report 2014-130: California Department of Health Care Services: It Should Improve Its Administration and Oversight of School‑Based Medi-Cal Programs (Release Date: August 2015)

Recommendation #23 To: Health Care Services, Department of

To ensure that it provides stakeholders with timely access to information regarding the billing option program, Health Care Services should issue the required annual report covering April 2013 to May 2015 by December 2015 as promised.

Annual Follow-Up Agency Response From September 2017

DHCS combined the June 2013 through May 2015 report for simplicity; the report was posted to the DHCS website in March 2016.

California State Auditor's Assessment of Annual Follow-Up Status: Fully Implemented

1-Year Agency Response

The April 2014 to May 2015 report is being finalized. DHCS anticipates posting in December 2016.

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

6-Month Agency Response

DHCS is working collaboratively with its contractor to complete a combined report for FY 13-14 and FY 14-15, and to issue it in a timely manner. During the process of developing the report, DHCS reached out to 49 states to gather statistical data on Medicaid reimbursements to meet the requirement stated in Welfare and Institution Code 14115.8. This process proved to be time consuming due to the lack of timely responses from multiple states, thus missing the recommended deadline of December 31, 2015. Currently, DHCS is finalizing the Legislative Report and expects to release by March 31, 2016.

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

In July 2016, Health Care Services told us that the combined legislative report for fiscal years 2013-14 and 2014-15 was going through final departmental review.

60-Day Agency Response

The report is going through the approval process.

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

All Recommendations in 2014-130

Agency responses received are posted verbatim.