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IL SR0792
Resolution
AI Summary
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Directs the Auditor General to conduct a performance audit of the Department of Healthcare and Family Services' administration of pharmacy benefit managers for Medicaid managed care organizations.
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Audit must examine state and federal funds paid to pharmacy benefit managers by managed care organizations and amounts paid by pharmacy benefit managers to pharmacies for fiscal years 2020 and 2021.
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Audit must review contracts between managed care organizations and pharmacy benefit managers, and between pharmacy benefit managers and pharmacies, including oversight and compliance.
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Audit must analyze reimbursement practices and rates paid by managed care organizations to pharmacy benefit managers and by pharmacy benefit managers to pharmacies, including out-of-state and affiliated pharmacies.
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Requires the Department of Healthcare and Family Services and other relevant entities to cooperate fully with the Auditor General and report findings and recommendations upon completion.
Legislative Description
AUDIT-MEDICAID MCOS
Last Action
Resolution Adopted; 053-000-000
4/9/2022