Submitting OIG:
Report Description:
The South Dakota Department of Social Services (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 $2 million ($1.2 million Federal share) in physician-administered drugs. Of this amount, $1.6 million ($941,000 Federal share) was for single-source drugs, and $458,000 ($266,000 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:
Tuesday, February 9, 2016
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-07-15-06059
Component, if applicable:
Centers for Medicare & Medicaid Services
Location(s):
SD
United StatesType of Report:
Audit
Questioned Costs:
$1,955,866
Funds for Better Use:
$0
Number of Recommendations:
6
View Document:
Attachment | Size |
---|---|
71506059.pdf | 819.32 KB |
Additional Details Link: