Report 2013-119 Recommendation 15 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 #15 To: Health Care Services, Department of

To prevent the certification of ineligible providers, Health Care Services should immediately update its procedures to include searches of the Social Security Death Master File.

1-Year Agency Response

DHCS has already updated its procedures to include a search of the U.S. Social Security Administration Death Master File during review of DMC provider applications for certification and continued certification.

  • Completion Date: July 2014
  • Response Date: August 2015

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

DHCS provided documentation showing that its Provider Application and Validation for Enrollment system automatically flags provider applicants who have a possible match to the U.S. Social Security Administration's Death Master File.


6-Month Agency Response

DHCS has already updated its procedures to include a search of the U.S. Social Security Administration Death Master File during review of DMC provider applications for certification and continued certification.

  • Completion Date: July 2014
  • Response Date: February 2015

California State Auditor's Assessment of 6-Month Status: No Action Taken

Although Health Care Services indicated that it has fully implemented this recommendation, it did not provide us documentation to support its claim.

  • Auditee did not substantiate its claim of full implementation

60-Day Agency Response

No update.

  • Completion Date: July 2014
  • Response Date: October 2014

California State Auditor's Assessment of 60-Day Status: No Action Taken

Although Health Care Services indicated that it has fully implemented this recommendation, it has not provided any information to indicate that it has taken any action on this recommendation.


All Recommendations in 2013-119

Agency responses received are posted verbatim.


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