Submitting OIG:
Report Description:
Although the North Dakota Department of 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 $138,000 ($79,000 Federal share) in physician-administered drugs. Of this amount, $137,000 ($78,000 Federal share) was for single-source drugs, and $1,000 ($700 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:
Wednesday, January 13, 2016
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-07-15-06058
Component, if applicable:
Centers for Medicare & Medicaid Services
Location(s):
ND
United StatesType of Report:
Audit
Questioned Costs:
$381,248
Funds for Better Use:
$0
Number of Recommendations:
4
View Document:
Attachment | Size |
---|---|
71506058.pdf | 1.38 MB |
Additional Details Link: