The Office of the City Controller conducted an audit of the HealthChoices Behavioral Healthcare Program for fiscal year 2017, the first performance audit by the Controller’s Office in 20 years of the now $1 billion program. HealthChoices is administered by Community Behavioral Health, a non-profit quasi-governmental agency, under the oversight of the City of Philadelphia’s Department of Behavioral Health and Intellectual disAbility Services. The audit identified issues with documentation, the reimbursement process, procurement, and a lack of oversight and accountability in CBH’s administration of HealthChoices and DBHIDS’ oversight of CBH.