By OC Supervisor Todd Spitzer, Portions courtesy of CalOptima
CalOptima underwent an audit of the Medi-Cal program by the California Department of Health Care Services (DHCS) and the California Department of Managed Health Care (DMHC) last October. This week the final report of the audit was received by CalOptima, and the results are very positive. The results of the state audit demonstrate the tremendous progress that CalOptima made in 2014 to improve regulatory compliance and oversight of the health network.
“I’m glad to see CalOptima continue on the path to improvement. The NCQA top ranking combined with the positive results of the state audit means that the quality of our Medi-Cal plan is validated and secure,” CalOptima Director Spitzer said. “I’m glad to have the confidence of my colleagues who unanimously voted to place me on the CalOptima Board in the aftermath of the audit.”
Moving forward, the federal Centers for Medicare & Medicaid Services (CMS) will be conducting a web-based re-audit of the OneCare program beginning next week. The purpose of the re-audit is for CMS to validate the progress that CalOptima has been sharing.