Review of Medicaid Drug Rebate Program State of Ohio, Ohio Department of Job and Family Services, Columbus, Ohio

OIG evaluated whether the Ohio Department of Job and Family Services (Agency) had established adequate accountability and internal controls over the State's Medicaid drug rebate Program.  We determined that the Agency could improve its policies regarding the collection of drug rebate interest for unpaid, late, and disputed drug rebates, and the use of a hearing mechanism to resolve drug rebate disputes with the manufacturers. We recommended that the Agency develop formal policies, procedures, and controls to follow-up and collect interest for unpaid, late, or disputed drug rebate payments, and monitor disputed rebate amounts, including appropriate use of the hearing mechanism prescribed in the rebate agreement between CMS and the manufacturers.  The Agency believes it is in compliance.  We continue to believe our recommended action is necessary.