Department of Health and Human Services

Office of Inspector General -- AUDIT

"Audit of the Medicaid Drug Rebate Program in the State of Hawaii," (A-04-03-06013)

July 28, 2003

Complete Text of Report is available in PDF format (110 KB). Copies can also be obtained by contacting the Office of Public Affairs at 202-619-1343.


The objective of this review was to determine whether the State of Hawaii had established adequate accountability and internal controls over the Medicaid drug rebate program.  The report points out that the State had not provided effective control over and accountability for drug rebate collections.  Recommendations were made that the State more closely monitor subcontractor activities, accurately report drug rebate activities to the Centers for Medicare and Medicaid Services, and ensure interest on rebates is collected as appropriate.  The State concurred with the findings and recommendations.