Submitting OIG:
Report Description:
The Colorado Department of Health Care Policy and Financing (State agency) did not always comply with Federal Medicaid requirements for invoicing manufacturers for rebates for physician-administered drugs. The State agency did not invoice manufacturers for rebates associated with $13 million ($6.5 million Federal share) in physician-administered drugs. Of this amount, $10.5 million ($5.2 million Federal share) was for single-source drugs, and $2.6 million ($1.3 million Federal share) was for top-20 multiple-source drugs. Because the State agency's internal controls did not always ensure that it invoiced manufacturers to secure rebates, the State agency improperly claimed Federal reimbursement for these single-source drugs and top-20 multiple-source drugs.
Date Issued:
Thursday, January 5, 2017
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-07-14-06050
Component, if applicable:
Centers for Medicare & Medicaid Services
Location(s):
CO
United StatesType of Report:
Audit
Questioned Costs:
$6,526,558
Funds for Better Use:
$0
Number of Recommendations:
6
View Document:
Attachment | Size |
---|---|
![]() | 1.54 MB |
Additional Details Link: