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Audit (A-04-10-01092)

01-19-2010
Reconciliation of North Carolina Division of Medical Assistance's Form CMS-64 for the Medicaid Family Planning Program

Executive Summary

The CMS-64 reports for North Carolina Division of Medical Assistance (DMA) Family Planning Program did not always reconcile to supporting documentation. DMA underreported family planning drug rebate collections at the enhanced 90-percent FFP rate. As a result, DMA overstated Federal Medicaid expenditures on its CMS-64 reports for the quarters ending December 31, 2004, and March 31, 2007, by $542,000. The overstatement occurred because of accounting errors made when DMA manually input family planning drug rebate collections received from its contractor, HP Enterprise Services (formerly Electronic Data Systems).

We recommended that DMA reimburse the Centers for Medicare & Medicaid Services (CMS) $542,000 for family planning drug rebate collections, submit a revised CMS-64 report showing corrections made for drug rebate collections at the enhanced 90-percent FFP rate for the quarters ending December 31, 2004, and March 31, 2007, and ensure all family planning drug rebate collections manually entered on the CMS-64 report are correct. DMA concurred with our findings and said that it would implement corrective actions to address our recommendations.

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