Submitting OIG:
Report Description:
The Wisconsin Department of Health 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 $3 million ($1.8 million Federal share) in physician-administered drugs. Of this amount, $2.9 million ($1.7 million Federal share) was for single-source drugs, and $165,000 ($99,000 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, March 23, 2017
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-05-16-00014
Component, if applicable:
Centers for Medicare & Medicaid Services
Location(s):
WI
United StatesType of Report:
Audit
Questioned Costs:
$1,831,378
Funds for Better Use:
$0
Number of Recommendations:
6
View Document:
Attachment | Size |
---|---|
51600014.pdf | 330.74 KB |
Additional Details Link: