Mississippi Medicaid officials investigate Centene’s pharmacy payments

The Mississippi Division of Medicaid is investigating Centene subsidiary Magnolia Health to determine whether it used subcontractors to misrepresent pharmacy costs, the Northeast Mississippi Daily Journal reported March 23.

The state attorney general’s office hired outside attorneys to investigate the matter and potentially pursue claims, as misrepresenting pharmacy costs could have resulted in millions of dollars in overpayments by Mississippi's Medicaid department, according to the Daily Journal.

Magnolia Health and two other contractors manage health insurance benefits for about 480,000 Mississippians who are a part of the state's Medicaid managed care system, and the state's Medicaid department pays the companies a set rate per patient.

Mississippi's investigation is similar to an Ohio probe announced March 11 by the state's attorney general, Dave Yost. He filed a lawsuit against Centene claiming the company's subsidiary, Buckeye Health Plan, used a web of subcontractors to misrepresent pharmacy costs.

Magnolia Health uses at least two companies (Envolve Pharmacy Solutions and RxAdvance) to get medications to Medicaid beneficiaries, according to the Daily Journal.

More articles on pharmacy:
NIAID: AstraZeneca's COVID-19 vaccine data may be outdated
Pfizer to develop more mRNA vaccines
Regeneron says its COVID-19 antibody cocktail reduces hospitalization, death risk by 70%


Copyright © 2024 Becker's Healthcare. All Rights Reserved. Privacy Policy. Cookie Policy. Linking and Reprinting Policy.


Featured Whitepapers

Featured Webinars