Submitting OIG:
Report Description:
Although the Montana Department of Public Health and Human Services (State agency) generally complied with Federal Medicaid requirements for invoicing manufacturers for rebates for physician-administered drugs, it claimed unallowable Federal reimbursement for some of these drugs. The State agency did not invoice manufacturers for rebates associated with $24,000 ($16,000 Federal share) in physician-administered drugs. Of this amount, $19,000 ($13,000 Federal share) was for single-source drugs, and $5,000 ($3,000 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 14, 2016
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-07-15-06062
Component, if applicable:
Centers for Medicare & Medicaid Services
Location(s):
MT
United StatesType of Report:
Audit
Questioned Costs:
$132,096
Funds for Better Use:
$0
Number of Recommendations:
5
View Document:
Attachment | Size |
---|---|
71506062.pdf | 1.61 MB |
Additional Details Link: