Follow-up Review of the Medicaid Drug Rebate Program in Indiana

In the follow-up review of Indiana's Medicaid drug rebate program, we found that, as of June 30, 2006, the Indiana Family and Social Services Administration (the State agency) had implemented two of the three recommendations from our previous audit. However, the State agency had not fully established controls or implemented oversight procedures for the Form CMS-64.9R report preparation process that included verification of fiscal agent-prepared amounts and reconciliation of the State agency rebate accounts receivable to the fiscal agent's supporting records. Additionally, the fiscal agent, Affiliated Computer Services, did not maintain adequate supporting documentation for the accounts receivable balances it reported on the Form CMS-64.9R. As a result, the State agency had no assurance that the balances on the Form CMS-64.9R report as of June 30, 2006, were accurate.