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Government  Sanctions, Fines and Audits against Kaiser Permanente as a result of numerous investigations

Also as the reports listed on this page are only some of the highlights of regulatory action taken against Kaiser be sure to check with DMHC at:
and HHS at: .  OIG Actions.  

INDEX

New California Fines

Old Page California Fines

January 13, 2017 - NOTICE OF INTENT TO IMPOSE SANCTIONS FOR FAILURE TO COMPLY WITH CORRECTIVE ACTION PLAN

On April 20, 2016, the Department of Health Care Services (DHCS) advised Kaiser Permanente (Kaiser) and its Plan Partners of the requirement to submit all outstanding encounter data by June 30, 2016, to the Post Adjudicated Claims and Encounters System (PACES). DHCS further advised all Medi-Cal Managed Care Plans that failure to meet the June 30, 2016,deadline for reporting all outstanding encounter data using

the PACES submission process would result in the imposition of a Corrective Action Plan (CAP). On June 28, 2016, Kaiser contacted DHCS and advised that it would not meet the June 30, 2016, deadline for encounter data reporting.

On September 23, 2016, DHCS imposed a CAP on Kaiser for failure to meet its regulatory and contractual obligations for reporting encounter data. The CAP further advised Kaiser that its failure to submit all retrospective encounter data by January 1, 2017,would result in the imposition of monetary sanctions. Kaiser was unable to submit all

of the following required encounter data by January 1, 2017

http://www.dhcs.ca.gov/services/Documents/MCQMD/Sanctions/SanctionLtrKaiser170113.pdf
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