Audit of the Medicaid Drug Rebate Program in the State of Florida

EXECUTIVE SUMMARY:

The objective of this review was to determine whether the State of Florida had established adequate accountability and internal controls over the Medicaid drug rebate program.  The audit covered Medicaid drug rebates through June 30, 2002.  The review showed that the State has the opportunity to increase the amount of revenue that is realized from drug rebates, and follow the Centers for Medicare & Medicaid Services's (CMS) guidelines in the collection process.  We recommended that the State the make it a priority to program the existing computer system to calculate interest and verify that interest payments are accurate and develop policies and procedures that establish write-off criteria for dispute resolution.  State officials concurred with our findings and recommendations.