What's New
- September 15, 2023
- Updated: Work Plan
- Amerigroup Iowa's Prior Authorization and Appeal Processes Were Effective, but Improvements Can Be Made A-07-22-07007
- September 14, 2023
- Kentucky Did Not Always Invoice Manufacturers for Rebates for Physician-Administered Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations A-04-22-07102
- Novitas Solutions, Inc., Claimed Some Unallowable Medicare Nonqualified Plan Costs Through Its Incurred Cost Proposals A-07-23-00633
Enforcement Actions
- September 14, 2023; U.S. Department of Justice
- Pharmacist Convicted for Conspiring to Unlawfully Dispense Over 100,000 Opioid Pills
- September 14, 2023; U.S. Attorney's Office, Eastern District of Missouri
- Former Missouri Doctor Sentenced to 22 Months in Prison for Defrauding Medicare, Medicaid
- September 14, 2023; U.S. Attorney's Office, Middle District of Louisiana
- Laboratory Owner Sentenced to 36 Months in Federal Prison for Healthcare Kickback Scheme