OIG Home  Reports  Office of Audit Services  Center For Medicare and Medicaid Services 

Audit (A-09-08-00056)

05-07-2009
Review of California's Compliance With Demonstration Project Requirements for Reimbursement of State Costs for Provision of Medicare Part D Drugs (Claims Processed Through the Medicaid Management Information System)

Executive Summary

For the $55.8 million in drug claims processed through the Medicaid Management Information System, the California Department of Health Care Services (the State agency) complied with certain provisions of the Medicare "Section 402 Demonstration Application" when claiming drug costs for full-benefit dually eligible beneficiaries. However, the State agency claimed drug costs to both the Medicaid program and the Medicare demonstration project. Subsequently, the State agency adjusted the Forms CMS-64 to remove demonstration project costs.

Complete Report

Download the complete report (PDF)
Adobe Acrobat Reader is required to view PDF files.

Copies can also be obtained by contacting the Office of Public Affairs at 202-619-1343.