Region VII Rollup Report for 4-State Review of Medicaid Drug Rebate Collections

EXECUTIVE SUMMARY:

The objective of this audit was to determine whether the four State agencies in Region VII (Missouri, Kansas, Iowa and Nebraska) had established adequate accountability and internal controls over their respective Medicaid drug rebate programs.  Individual reports were issued to each State agency, and this report summarizes the issues identified in those reports.

Three of the State agencies had not established adequate accountability and controls over their Medicaid drug rebate programs.  As a result, there was no assurance that all drug rebates due to those States were collected.  Missouri had generally established adequate controls and procedures. Specific recommendations were made to each of the State agencies that addressed the weaknesses described above.  Missouri and Kansas generally agreed with the findings and recommendations and indicated that corrective action had been enacted or was planned.  Iowa and Nebraska did not fully concur with our findings.