Submitting OIG:
Report Description:
The Utah Department of Health, Division of Medicaid and Health 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 $6,188,000 ($4,387,000 Federal share) in physician-administered drugs. Of this amount, $5,189,000 ($3,679,000 Federal share) was for single-source drugs, and $999,000 ($709,000 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, May 26, 2016
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-07-14-06057
Component, if applicable:
Centers for Medicare & Medicaid Services
Location(s):
UT
United StatesType of Report:
Audit
Questioned Costs:
$4,387,284
Funds for Better Use:
$0
Number of Recommendations:
6
View Document:
Attachment | Size |
---|---|
71406057.pdf | 724.44 KB |
Additional Details Link: