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Missouri Did Not Always Correctly Claim Costs for Medicaid Family Planning Drugs for Calendar Years 2009 and 2010

The Department of Social Services, Missouri HealthNet Division (State agency), did not always comply with Federal and State requirements when claiming Federal reimbursement for family planning prescribed drug costs for calendar years 2009 and 2010. Of 107 sampled claims, 85 complied with requirements and were allowable for Federal reimbursement at the enhanced 90-percent rate and 22 did not. On the basis of our sample results, we estimated that the State agency received at least $487,000 in unallowable Federal reimbursement.

Filed under: Center for Medicare and Medicaid Services