Report 2018-122 Recommendation 3 Responses

Report 2018-122: Department of Health Care Services: It Has Not Ensured That Medi-Cal Beneficiaries in Some Rural Counties Have Reasonable Access to Care (Release Date: August 2019)

Recommendation #3 To: Health Care Services, Department of

To obtain assurance that health plans throughout the State exhaust all of their reasonable options to meet the access requirements before requesting alternative access standards, DHCS should immediately determine a specific minimum number of providers that health plans must attempt to contract with before requesting an alternative access standard.

60-Day Agency Response

DHCS is currently revising All Plan Letter 19-002 which will instruct Managed Care Providers to provide information regarding attempts to outreach to a minimum of two out-of-network providers when submitting AAS requests.

  • Estimated Completion Date: July 2020
  • Response Date: October 2019

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

All Recommendations in 2018-122

Agency responses received are posted verbatim.