Department of Health & Human ServicesĢ00 Independence Ave SW, Rm 509F, HHH Bldg.
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Download and print the information (PDF 30.64 KB) or see below: Do you think we did not help you or you were treated differently because of your race, color, birth place, language, age, disability, religion, or sex? You can file a complaint by mail, by email, or by phone. We do not treat people in a different way because of their race, color, birth place, language, age, disability, religion, or sex. Sanderlin is an investigative and political reporter covering the state of Mississippi.We obey federal and state civil rights laws. Centene also received two contract extensions. In May, it opted to extend the contract for another year, the last extension allowed under the current deal. Since then, UnitedHealth has made almost a quarter-of-a-billion dollars from Medicaid services in the state.Īlthough its billing practices have been under investigation since 2019, the State Division of Medicaid has extended its contract with UnitedHealth twice since then. Mississippi has contracted with UnitedHealth, under the name UnitedHealthcare of Mississippi, for Medicaid and Children's Health Insurance Program, or CHIP, benefits since 2017. A review of invoices showed Mississippi's Medicaid service was being charged more than the contractually allowed price caps for certain drugs and services.Īs part of that settlement, the state had to agree Centene has provided "high quality" pharmacy benefit services to the state, and the company did not admit any fault. The state began investigating Centene in 2019 after growing suspicion that Envolve Pharmacy Solutions, Centene's pharmacy benefit management subsidiary, was inflating its bills. The state's settlement with Centene provides a glimpse of what the UnitedHealth probe may center on. The state auditor's office also declined to provide further details, citing the need to protect an ongoing investigation. The company reported over $257 billion in revenue last year. Multiple requests for comment to UnitedHealth went unanswered. Investigators are working to determine if OptumRX charged more than contractually allowed, costing taxpayers as a result. In Mississippi, the state contracts with health providers to provide Medicaid coverage to nearly 500,000 people.Īs part of these agreements, the price of prescription drugs are capped. New Mexico, Ohio, Georgia, Kansas and Arkansas are also investigating, according to the Wall Street Journal.Īt the center of the state's UnitedHealth probe is OptumRX, a UnitedHealth subsidiary that manages prescription drug plans. Mississippi is one of several states probing the billing practices of its pharmacy benefit managers. Pharmacy benefit managers, or PBMs, are third-party groups that negotiate drug prices with pharmaceutical companies and drug stores. Attorney Lawrence Deas confirmed to the Clarion Ledger Monday morning his firm is still investigating. The auditor's office has been investigating several of the state's pharmacy benefit management contractors since 2019, after hiring Ridgeland-based law firm Liston & Deas on the state's behalf. The Mississippi State Auditor's Office is looking into whether UnitedHealth Group, the fifth largest company in the U.S., is over-billing Medicaid for prescription drugs.Ĭonfirmation of the probe comes a week after Mississippi Attorney General Lynn Fitch and State Auditor Shad White announced a $55 million settlement with Centene, another Fortune 500 company, to resolve allegations Centene had over-billed the state Division of Medicaid for prescription drugs. Watch Video: What is the cost of Mississippi deciding not to expand Medicaid?
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