Report 2023-115 Recommendation 17 Responses

Report 2023-115: Department of Health Care Services and Department of Managed Health Care: Children Enrolled in Medi-Cal Face Challenges in Accessing Behavioral Health Care (Release Date: November 2023)

Recommendation #17 To: Health Care Services, Department of

To more effectively encourage plans to comply with network adequacy standards, by May 2024, DHCS should develop and implement a policy outlining when noncompliance with network adequacy standards by a Medi-Cal managed care plan, county mental health plan, or county Drug Medi-Cal program justifies financial penalties.

60-Day Agency Response

DHCS collaborates internally regarding MCP performance concerns and builds a consensus on the appropriate enforcement actions across program areas. DHCS discussed the policy in November 2023 and began the development of the policy. DHCS will implement the policy by May 2024.

• Estimated Completion Date: 05/31/24
• Response Date: January 2024

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

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All Recommendations in 2023-115

Agency responses received are posted verbatim.