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Regional Center Vendors: CPA Review and Audit Compliance Can Affect Your QIP Rate

Writer: Mark Deazeley
Mark Deazeley
Sep 12
4 min read

California Regional Center vendors should be aware of an important connection between their annual financial reporting requirements and the Quality Incentive Program (QIP).


For fiscal year 2026–27, the California Department of Developmental Services (DDS) identifies compliance with applicable independent audit or review requirements as one of the requirements for QIP eligibility.


That means your annual CPA review or audit may affect more than regulatory compliance. For vendors subject to these requirements, staying compliant can also be important to maintaining eligibility for the QIP portion of applicable reimbursement rates.


Which Regional Center Vendors Need a CPA Review?

Under California Welfare and Institutions Code Section 4652.5 and current DDS guidance, the level of CPA reporting generally depends upon the amount a service provider receives in payments from one or more Regional Centers during the State fiscal year.


$500,000 to Less Than $2 Million in Regional Center Payments

A provider receiving $500,000 or more but less than $2 million in payments from one or more Regional Centers generally must obtain an independent review of its financial statements by an independent accounting firm.


A financial statement review provides limited assurance and is substantially less extensive than a financial statement audit.


$2 Million or More in Regional Center Payments

A provider receiving $2 million or more in Regional Center payments during the State fiscal year generally must obtain an independent audit.


An audit provides a higher level of assurance than a review and involves substantially more testing, documentation and audit procedures. We don't sign off on audit opinions, however, can prepare you for an audit as your audit preparation consultant.


Because these thresholds relate specifically to payments received from Regional Centers, providers should not assume that their total company revenue determines whether a review or audit is required.


When Is the CPA Review or Audit Due?

DDS states that the required independent audit or review must generally be submitted to the vendoring Regional Center within nine months after the end of the provider's fiscal year, unless the provider has been granted an applicable exemption.

This makes planning important.


Waiting until the reporting deadline is approaching can create unnecessary pressure, particularly if the accounting records contain unreconciled accounts, unsupported balances or other issues that need to be resolved before the financial statements can be completed.


Why QIP Makes This Requirement Even More Important

The Quality Incentive Program is part of California's effort to tie a portion of provider reimbursement to quality and compliance requirements.


DDS's FY 2026–27 guidance specifically includes Independent Audits and Reviews among the compliance requirements applicable to participating providers.

DDS also publishes rate information showing the applicable base-rate and QIP components for services subject to rate reform.


As a result, Regional Center vendors should view their annual CPA reporting requirement as more than simply another compliance filing.


Failure to complete a required review or audit on time could potentially affect a provider's eligibility for the QIP component of its rate.


For a provider receiving substantial Regional Center funding, the financial consequences of noncompliance could therefore be significantly greater than the cost of completing the required CPA engagement.


Is Your Regional Center Vendor QIP Compliant?

DDS has established a process for tracking QIP eligibility and compliance.

Regional Center vendors should verify their status rather than assuming they have satisfied all applicable requirements.


DDS has published FY 2026–27 QIP vendor status information, and providers should also communicate with their vendoring Regional Center regarding questions about their individual compliance status.


Preparing for a Financial Statement Review

For providers in the $500,000 to less-than-$2-million range, a financial statement review does not involve the extensive testing associated with an audit. However, the CPA still needs reliable financial information and properly maintained accounting records.

Before beginning a review, providers should make sure their accounting records are current and that significant balance-sheet accounts have been reconciled.

This commonly includes:

  • Bank and credit card reconciliations

  • Accounts receivable and accounts payable

  • Payroll and payroll liabilities

  • Fixed assets

  • Loans and other liabilities

  • Regional Center revenue

  • Significant expense accounts

  • Related-party transactions, when applicable

Clean accounting records can make the review process considerably more efficient.

If significant accounting problems are discovered after the engagement begins, additional time may be necessary to correct the records before the CPA can complete the financial statements and issue the review report.


Don't Wait Until the Nine-Month Deadline

If your organization is approaching or has exceeded $500,000 in annual Regional Center payments, it is a good idea to determine your reporting requirement well before your fiscal year-end filing deadline.


Knowing in advance whether you require a review or audit gives you time to organize the accounting records, correct problems and engage an independent CPA without unnecessary deadline pressure.


It is particularly important now that compliance with applicable independent audit and review requirements is connected to FY 2026–27 QIP eligibility.


How Streamlined Reviews Can Help

Streamlined Reviews provides independent CPA financial statement review services, with a particular focus on California Regional Center vendors.


If your organization receives between $500,000 and $2 million in annual Regional Center payments, we can help you determine whether an independent financial statement review is required and guide you through the review process.

Our goal is straightforward: provide smaller Regional Center vendors with an experienced CPA, a clear process and a cost-effective approach to satisfying their financial reporting requirements.


If your accounting records need attention before a review can begin, we can also discuss what needs to be corrected or prepared so that your organization is ready for the independent review process.


Do You Need a Regional Center CPA Review?

If your organization receives $500,000 or more in Regional Center payments, or you are approaching that threshold, now is the time to determine what reporting requirements apply.


Contact Streamlined Reviews to discuss your Regional Center funding, fiscal year and CPA reporting requirements.


A little preparation today can make the year-end review process much easier—and help your organization stay on top of its California Regional Center and QIP compliance requirements.


This article is provided for general informational purposes only and is not intended to constitute accounting or legal advice. Reporting and QIP requirements may depend on a provider's individual facts and circumstances. Providers should consult current California Department of Developmental Services guidance and their vendoring Regional Center regarding requirements applicable to their organization.


Sources

California Department of Developmental Services — Quality Incentive Program (QIP)

California Department of Developmental Services — FY 2026–27 QIP Directives and Guidance

California Welfare and Institutions Code § 4652.5

 
 
 

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