Department of Health

Medicaid Payments to Pharmacy Providers While Recipients Were Hospitalized

The daily Medicaid reimbursement rates for hospitalization generally cover the costs of all medical services provided to Medicaid recipients during their hospital stays, including pharmacy services. To determine whether pharmacy providers were inappropriately paid for services provided to Medicaid recipients during their hospital stays, we examined selected Medicaid payments to hospital and community-based pharmacy providers. We found that the payments were appropriate.

For a complete copy of Report 2006-S-97 click here.