Suspicious Pharmacy Medicare Part D Billing in Texas
Guidance for: Inappropriate and suspect billing of Part D drugs to the Medicare program. On May 16, 2008, the Texas Medicaid Fraud Control Unit (MFCU) and the Health and Human Services, Office of Inspector General (OIG) executed a state search warrant. Due to the critical nature of this issue, CMS is alerting all Part D Sponsors of this situation. CMS requests that if you have any billing from this pharmacy, please contact Health Integrity, the South MEDIC. Please provide Health Integrity with information as soon as possible.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: May 16, 2008
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.