Submitting OIG:
Report Description:
From April 1 through December 31, 2010, the California Department of Health Care Services (State agency) did not always comply with Federal Medicaid requirements for billing manufacturers for rebates for physician-administered drugs dispensed to enrollees of Medicaid managed-care organizations (MCOs). For the 20 MCOs we reviewed, the State agency billed for rebates for physician-administered drugs dispensed by 7 MCOs. However, the State agency did not bill for rebates for physician-administered drugs dispensed by the remaining 13 MCOs.
Date Issued:
Thursday, December 8, 2016
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-09-15-02035
Component, if applicable:
Centers for Medicare & Medicaid Services
Location(s):
CA
United StatesType of Report:
Audit
Questioned Costs:
$7,306,209
Funds for Better Use:
$0
Number of Recommendations:
5
View Document:
Attachment | Size |
---|---|
91502035.pdf | 2.03 MB |
Additional Details Link: