California Code of Regulations
Title 22 - Social Security
Division 2 - Department of Social Services-Department of Health Services
Part 2 - Health and Welfare Agency-Department of Health Services Regulations
Subdivision 2 - Administration
Chapter 2.1 - DEPARTMENT OF HEALTH SERVICES AUDITS AND APPEALS
Section 20203 - Statistical Extrapolation for Direct Services Contract Reviews

Universal Citation: 22 CA Code of Regs 20203

Current through Register 2024 Notice Reg. No. 38, September 20, 2024

(a) Upon completion of an audit or examination using probability sampling to extrapolate the recoverable amount, the Department shall make a demand to recover the extrapolated recovery amount.

(b) Probability sampling shall be done in conformance with generally accepted statistical standards and procedures described in any textbook on statistical sampling methods.

(c) Whenever the results of a probability sample are used to extrapolate the amount to be recovered, the demand for recovery shall be accompanied by a clear description of:

(1) The universe from which the sample was drawn,

(2) The sample size and method used to select the sample,

(3) The formulas and calculation procedures used to determine the amount to be recovered, and

(4) The confidence level used to calculate the precision of the extrapolated overpayment.

1. New section filed 5-31-89; operative 6-30-89 (Register 89, No. 23).
2. Change without regulatory effect of subsection (a) pursuant to Section 100, Title 1, California Code of Regulations filed 2-20-90 (Register 90, No. 11).

Note: Authority cited: Sections 208 and 38036, Health and Safety Code. Reference: Section 38011, Health and Safety Code; Sections 11180 and 11181, Government Code; and Stipulated Judgment in Planned Parenthood v. Department of Health Services, Sacramento Superior Court, No. 328490.

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