Report 2014-130 Recommendation 15 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 #15 To: Health Care Services, Department of

To better ensure that some claiming units do not unfairly disadvantage other claiming units in the receipt of interim payments, Health Care Services should explore opportunities to expedite consistent, timely, and fair interim payments to those claiming units with no overpayments. Health Care Services should involve representatives of local educational consortia, local governmental agencies, and claiming units in these efforts and communicate the results to interested stakeholders.

Agency Response*

DHCS issued PPL 16-011 that gives guidance to the LECs and LGAs on the disbursement and recoupment of deferral settlement funds for the School-Based Medi-Cal Administrative Activities (SMAA) program

  • Response Type†: 1-Year
  • Completion Date: June 2016
  • Response Date: November 2016

California State Auditor's Assessment of Status: Fully Implemented

Agency Response*

DHCS is drafting a guidance letter to assist the LEC/LGAs with finalizing the settlement payment process. This letter is anticipated to be issued October 30, 2015.

  • Response Type†: 60-Day
  • Response Date: November 2015

California State Auditor's Assessment of Status: Pending

Health Care Services has not yet provided us with a copy of the guidance letter mentioned in its response.

All Recommendations in 2014-130

†Response Type refers to the interval in which the auditee is providing the State Auditor with their status in implementing recommendations made in an audit report. Auditees must submit a response regarding their progress in implementing recommendations from our reports at three intervals from the release of the report: 60 days, six months, and one year or subsequent to one year.

*Agency responses received after June 2013 are posted verbatim.

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