Some of California's Substance Abuse Prevention and Treatment Block Grant Expenditures for Los Angeles County Did Not Comply With Federal and State Requirements

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Date Issued

Friday, November 17, 2023

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

Substance Abuse and Mental Health Services Administration

Report Number

A-09-21-01001

Report Type

Audit

Location

CA,
United States

Number of Recommendations

Questioned Costs

Funds for Better Use

$3,502,188

External Entity

California Department of Health

Open Recommendations

This report has 5 open recommendations.

Recommendation Number	Significant Recommendation	Recommended Questioned Costs	Recommended Funds for Better Use
24-A-09-01603	No	$0	$0
We also recommend that the California Department of Health Care Services work with Los Angeles County to develop a process to ensure that LA County's claims processing system does not pay transitional housing claims after an individual has been discharged from outpatient treatment.
24-A-09-01601	No	$0	$1,681,964
We recommend that the California Department of Health Care Services recover from Los Angeles County $1,681,964 for transitional housing expenditures when closing out the SABG award for our audit period and establish a process to review whether counties, including LA County, were reimbursed for expenditures that had been previously reimbursed.
24-A-09-01605	No	$0	$0
We also recommend that the California Department of Health Care Services develop procedures for LA County's monitoring activities to identify whether providers are submitting invoices for reimbursement based on actual costs incurred.
24-A-09-01604	No	$0	$0
We also recommend that the California Department of Health Care Services provide clear guidance to providers on claiming and documenting treatment services.
24-A-09-01602	No	$0	$1,820,224
We recommend that the California Department of Health Care Services instruct Los Angeles County to develop a cost allocation plan for its well-being centers, determine the portion of the $1,820,224 that should not have been allocated to the SABG, and recover any overpayment.