CALIFORNIAAccidentalHealthcareFinancial ServicesGovernmentHealthcareMisdeliveryCustomer Data InvolvedIdentity (basic)Health (basic)MediumResolved

Calif. Dept. of Health Care Services (DHCS)

bd_9c350ebfc80e7745 · schema v1 · pii pii-v1

Severity

Medium

Discovered

—

Filed

Dec 23, 2012

To disclose

—

Affected

2,643

Linked

2 filings

Confidence

96%

California Department of Health Care Services (DHCS) reported to HHS on 2012-12-23 an Unauthorized Access/Disclosure affecting 2,643 individuals. Due to a computer programming error in electronic mailing files, 2,705 Medi-Cal member ID cards were mailed to wrong households. PHI on the cards included names, dates of birth, genders, dates of issue, and Medi-Cal-assigned numbers. The CE halted mailings, deactivated and replaced the cards, and implemented new data transfer policies and mailing procedures. OCR obtained assurances of corrective action.

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HIPAA clock✓ HHS notified

⚠ no discovery dateNo discovery date was extracted, so no notification clock can be evaluated.

⚠ No discovery dateThe OCR public portal omits the discovery date, so the 60-day notification clock cannot be evaluated from this source — only that the filing was submitted.

Incident timeline — partial

? — ?

Breach window unknown

Dec 23, 2012

Filed

—

Corroborated · see linked filings

Compliance clocks stay unassessable until a regulatory filing lands. Dashed segments fill in automatically when corroboration arrives.

This filing is one of 2 about the same incident.View merged incident

Linked disclosures

Why this link?

Regulatory filings (1) · sorted by filing gap

California State AGbd_5934b6056e3f724c2012-12-24 · +1dVerified

Name: Calif. Dept. of Health Care Services (DHCS)
norm: California Department of Health Care Services
Industry: Insurance — Health

Name: Calif. Dept. of Health Care Services (DHCS)
norm: California Department of Health Care Services
Industry: Insurance — Health
Industry: Healthcaresource defaultFinancial ServicesllmGovernmentllm

Discovered: Not extracted — the OCR public portal omits it
Materiality determined: —
Notification sent: —
Affected individuals: 2,643nationwide
Data types: Identity (basic)Health (basic)
HHS breach type: Unauthorized access or disclosure
Where the data lived: Other
Covered-entity type: Health plan
Attack vector: Misconfiguration
Threat actor: Internal
Regulator citations: HHS OCR — corrective action plan accepted; OCR obtained assurances that the CE implemented corrective actions

During the incident: Provided breach notification to HHS, affected individuals, and the media
Put an immediate hold on additional mailings
Conducted a quality assurance check
Deactivated incorrectly mailed cards
Requested return of deactivated cards
Issued replacement cards
Implemented new internal data transfer policy and updated related procedures
Instituted new processes for mailings
Changes made: New internal data transfer policy implemented
Updated mailing procedures and quality assurance processes
Programming error in electronic file corrected
Source: Quoted from the filing itself, not independently verified.

Compliance flags: HHS notified
Discovery-date grounding: no discovery dateNo discovery date was extracted, so no notification clock can be evaluated.
Clock breakdown: Statute Window Elapsed Threshold Status
HIPAA
Discovered: not extracted
→ Notified: not extracted
— regulatory submission HHS notified

Statute	Window	Elapsed	Threshold	Status
HIPAA	Discovered: not extracted → Notified: not extracted	—	regulatory submission	HHS notified

Status: No extraction artifact recorded for this disclosure.

Filing propagation · 2 filings

View merged incident ↗

HHS OCRDec 23 · first · this page

California State AG+1d

Evidence ladder

Leak-site claim

Attacker assertion only. Establishes: claim date, group, alleged victim.

Press / market report

Unlocks: incident narrative, operational impact. Still no compliance clock.

State AG / regulator filingThis record

Unlocks: discovery date, data types, affected count, compliance clock.

SEC 8-K / victim statement

Unlocks: materiality, stated response, full audit trail. Ceiling removed.

Source URL: https://ocrportal.hhs.gov/ocr/breach/breach_report.jsf
DisclosureLens renders the full SEC/HHS filing inline below from the originating regulator’s public record (§4.5 fair report privilege).
Filed at: Dec 23, 2012
Raw hash: ed54421f8303c409955be9fd9d64797a33e4af3663fa66356ca00c2bf76ad180

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Linked disclosures

Regulatory filings (1) · sorted by filing gap

Reporting entityCalif. Dept. of Health Care Services (DHCS)

Victim entityCalif. Dept. of Health Care Services (DHCS)

IncidentMisconfiguration

Stated responseProvided breach notification to HHS, affected individuals, and the media

ComplianceHHS notified

Extraction provenanceno artifact recorded

Source provenanceocrportal.hhs.gov

Source filing