Skip to main content
Report File
Date Issued
Submitting OIG
Department of Health & Human Services OIG
Other Participating OIGs
Department of Health & Human Services OIG
Agencies Reviewed/Investigated
Department of Health & Human Services
Components
Centers for Medicare and Medicaid Services
Report Number
A-04-21-07097
Report Type
Audit
Location

CA,
United States

Number of Recommendations
5
Questioned Costs
$15,722,587
Funds for Better Use
$0
External Entity
California Department of Health Care Services

Open Recommendations

This report has 4 open recommendations.
Recommendation Number Significant Recommendation Recommended Questioned Costs Recommended Funds for Better Use Additional Details
23-A-04-006.02 No $0 $0

We recommend that the California Department of Health Care Services review capitation payments that fell outside of our audit period and refund any unallowable payments.

23-A-04-006.03 No $0 $0

We recommend that the California Department of Health Care Services ensure that the algorithm used to create its revised Beneficiary Name and DOB Match Reports is effective at detecting individuals with multiple records.

23-A-04-006.04 No $0 $0

We recommend that the California Department of Health Care Services require county staff to review training materials on the prevention of issuing multiple CINs.

23-A-04-006.05 No $0 $0

We recommend that the California Department of Health Care Services enhance its controls to ensure that no beneficiary is issued multiple CINs.

Department of Health & Human Services OIG

United States