Medicaid Audit Intelligence

Evidence record

Efforts to Monitor Established Service Level Agreements for the Medicaid Pharmacy Benefits Manager Contract

Jurisdiction
Michigan
Publishing agency
Michigan Office of the Auditor General
Publication date
March 25, 2026
Source record
Original document linked
Open original reportOriginal source available

Findings

2

Recommendations

3

Overall conclusion

Not sufficient.

Scope

To examine records and processes related to MDHHS's efforts to monitor SLAs identified in the Medicaid PBM contract, covering October 1, 2023 through June 30, 2025.

Findings (2)

Each finding has a stable link.

  1. F-1099

    Significant improvement needed in MDHHS's PBM contract monitoring plan and written monitoring procedures for contract SLAs.

  2. F-1100

    Performance and documentation of monitoring activities over the contractor's compliance with SLAs needs significant improvement.

Recommendations (3)

  1. R-970

    MDHHS significantly improve its contract monitoring plan regarding SLAs for the PBM contract.

    Related finding F-1099
  2. R-971

    MDHHS establish written policies and/or procedures for monitoring PBM contract SLAs.

    Related finding F-1099
  3. R-972

    MDHHS significantly improve its performance and documentation of monitoring of the PBM contractor's compliance with SLAs.

    Related finding F-1100