Medicaid Audit Intelligence

MO · Medicaid jurisdiction

Missouri Medicaid audit evidence

Review reports connected to Missouri Medicaid oversight, ordered by publication date.

Evidence register

3 reports

Published
Feb 2026
Jurisdiction
Missouri
Publishing agency
Office of Inspector General, U.S. Department of Health and Human Services
Report ID
REPORT 156

Missouri Medicaid Rebates for Physician-Administered and Pharmacy Drugs

Although the State agency improved its controls over invoicing for rebates for physician-administered drugs, during our audit period the State agency did not comply with Federal Medicaid requirements for invoicing manufacturers for rebates for some physician-administered and p…

Findings
6
Recommendations
6
Open evidence record
Source status
Original source
Published
Nov 2020
Jurisdiction
Missouri
Publishing agency
Missouri State Auditor
Report ID
REPORT 79

Medicaid Managed Care Program

The audit found material weaknesses in MEDES controls that allowed improper and potentially preventable capitation payments to be issued, particularly for bypassed and out-of-state and incarcerated participants. While MEDES updates have improved functionality for new participa…

Findings
4
Recommendations
4
Open evidence record
Source status
Original source
Published
Dec 2018
Jurisdiction
Missouri
Publishing agency
Missouri State Auditor
Report ID
REPORT 80

Department of Social Services Prescription Drug Oversight

The audit found that while cost containment measures have contributed to reductions in prescription drug payments after 2015, significant control gaps remain, notably the absence of a comprehensive statewide PDMP and incomplete collection of National Drug Codes for physician-a…

Findings
4
Recommendations
0
Open evidence record
Source status
Original source