Updated 3/20/24. The results chart includes audits where the findings have been finalized. Remaining audits are still under review. Information on Corrective Action Plans and Sanctions will be updated once approved by HRSA. HRSA recommends manufacturers do not contact audited entities regarding sanctions until a corrective action plan has been approved by HRSA and posted on this website.
Entity | 340B ID | State Sort descending | OPA Findings | Sanction | Corrective Action Status |
---|---|---|---|---|---|
Montgomery AIDS Outreach, Inc. | HV0413130 | AL |
Incorrect 340B OPAIS record - Failed to remove contract pharmacies from 340B OPAIS that did not have a written contract in place. |
Termination of ineligible contract pharmacies from the 340B Program |
CAP implemented Audit closure date: April 28, 2023 |
Quality of Life Health Services, Inc.Contact InformationPresident/Chief Executive Officer |
CH044120 | AL |
Incorrect 340B OPAIS record - Incorrect entry in 340B OPAIS for address for grant associated site. Diversion - 340B drugs dispensed, not supported by a medical record; 340B drugs prescribed by ineligible providers. Duplicate Discounts - Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: February 15, 2024 |
HH Health System - Marshall, LLC | DSH010005 | AL |
Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for hospital control type, address, and shipping address; Failed to remove terminated contract pharmacy from 340B OPAIS. |
None |
CAP implemented Audit closure date: September 28, 2023 |
Banner Casa Grande Medical Center | DSH030016 | AZ |
No adverse findings |
None |
N/A Audit closure date: February 9, 2022 |
HonorHealth Scottsdale Osborn Med Ct | RRC030038-00 | AZ |
No adverse findings |
None |
N/A Audit closure date: March 23, 2022 |
Neighborhood Outreach Access to Health | CHC26604-00 | AZ |
No adverse findings |
None |
N/A Audit closure date: March 2, 2022 |
Mercy Gilbert Medical Center | RRC030119-00 | AZ |
No adverse findings |
None |
N/A Audit closure date: September 6, 2022 |
Conway Regional Medical Center, Inc.Contact InformationPharmacy Director |
DSH040029 | AR |
Diversion - 340B drug dispensed to inpatient. |
Repayment to manufacturers |
CAP implemented Audit closure date: August 29, 2023 |
Mercy Hospital Fort Smith | DSH040062 | AR |
Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for hospital control type. |
None |
CAP implemented Audit closure date: July 17, 2023 |
Mark Twain Medical Center | CAH051332-00 | CA |
Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period; Offsite outpatient facilities were not listed in 340B OPAIS. |
None |
CAP implemented Audit closure date: August 30, 2022 |
Providence Health System Southern California dba Providence Little Company of Mary Medical Center Torrance | DSH050353 | CA |
No adverse findings |
None |
N/A Audit closure date: March 4, 2022 |
Providence Little Company of Mary Medical Center San Pedro | DSH050078 | CA |
No adverse findings |
None |
N/A Audit closure date: January 19, 2022 |
San Antonio Regional Hospital | DSH050099 | CA |
Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Medicare Cost Report filing date, cost reporting period, and disproportionate share percentage. |
None |
CAP implemented Audit closure date: October 26, 2022 |
Palomar Medical Center Escondido (PMC Escondido)Contact InformationDistrict Director of Pharmacy |
DSH050115 | CA |
Duplicate Discounts - Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: May 15, 2023 |
Gardner Family Health Network, Inc. | CH090210 | CA |
No adverse findings |
None |
N/A Audit closure date: July 29, 2022 |
Korean Health, Education, Information and Research CenterContact InformationCompliance Director 3727 West 6th Street, Suite 210 Los Angeles, CA 90020 compliance@lakheir.org (323) 863-6286 |
CHC26620-00 | CA |
Duplicate Discounts â Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: June 26, 2023 |
Northridge Hospital Medical Center | DSH050116 | CA |
No adverse findings |
None |
N/A Audit closure date: July 29, 2022 |
Santa Ynez Valley Cottage Hospital | CAH051331-00 | CA |
Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period. |
None |
CAP implemented Audit closure date: October 3, 2022 |
St. Joseph Health Northern California, LLC, dba St. Joseph Hospital | DSH050006 | CA |
No adverse findings |
None |
N/A Audit closure date: July 29, 2022 |
Sutter Valley Hospitals dba Sutter Tracy Community Hospital | DSH050313 | CA |
No adverse findings |
None |
N/A Audit closure date: July 12, 2022 |
Alameda Health System | DSH050320 | CA |
Incorrect 340B OPAIS record - Incorrect entry in 340B OPAIS for disproportionate share percentage. |
None |
CAP implemented Audit closure date: June 9, 2023 |
Children's Hospital and Research Center Oakland | PED053301-00 | CA |
Incorrect 340B OPAIS record - Ineligible offsite outpatient facilities registered in 340B OPAIS. |
Termination of ineligible offsite outpatient facilities from the 340B Program* |
CAP implemented Audit closure date: March 10, 2023 |
Chinese Hospital | DSH050407 | CA |
No adverse findings |
None |
N/A Audit closure date: September 12, 2022 |
Marin City Health and Wellness CenterContact InformationChief Operating Officer |
CHC22689-00 | CA |
Incorrect 340B OPAIS record - Incorrect entry in 340B OPAIS for sub-division name for grant associated site. Duplicate Discounts - Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: February 16, 2024 |
Rideout Memorial Hospital DBA Adventist Health and Rideout | DSH050133 | CA |
No adverse findings |
None |
N/A Audit closure date: October 31, 2022 |
St. Joseph Health Northern California, LLC, dba Santa Rosa Memorial Hospital | DSH050174 | CA |
Incorrect 340B OPAIS record – Failed to remove a duplicate registration of a contract pharmacy from 340B OPAIS. |
None |
CAP implemented Audit closure date: December 7, 2022 |
Trinity HospitalContact InformationSenior Vice President, Compliance, Privacy, Technology & Regulatory Affairs |
CAH051315-00 | CA |
Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period. Diversion - 340B drugs dispensed at contract pharmacies, not supported by a medical record. |
Repayment to manufacturers |
CAP implemented Audit closure date: January 3, 2024 |
Centura Longmont United Hospital | DSH060003 | CO |
No adverse findings |
None |
N/A Audit closure date: September 27, 2022 |
Kit Carson County Memorial Hospital | CAH061313-00 | CO |
Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period. |
None |
CAP implemented Audit closure date: April 19, 2023 |
North Colorado Medical Center | DSH060001 | CO |
Duplicate Discounts - Entity billed Medicaid while not listed in on the HRSA Medicaid Exclusion File. |
None |
CAP implemented State Medicaid has since determined duplicate discounts did not occur. Audit closure date: September 15, 2023 |
Centura St. Thomas More Hospital (formerly known as St. Thomas More Hospital) Contact Information340B Program Manager |
CAH061344-00 | CO |
Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period. Duplicate Discounts - Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers |
CAP approved |
Day Kimball Hospital | DSH070003 | CT |
No adverse findings |
None |
N/A Audit closure date: October 27, 2022 |
Lawrence & Memorial Hospital | DSH070007 | CT |
Incorrect 340B OPAIS record - Ineligible offsite outpatient facility registered in 340B OPAIS; A shipping address was not listed in 340B OPAIS. |
Termination of ineligible offsite outpatient facility from the 340B Program* |
CAP implemented Audit closure date: May 5, 2023 |
Staywell Health Care, Inc.Contact InformationPresident/CEO |
CH01241C | CT |
Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Primary Contact email address; Failed to remove duplicate registrations of contract pharmacies from 340B OPAIS; Failed to remove contract pharmacies from 340B OPAIS that did not have a written contract in place. Diversion - 340B drugs dispensed at contract pharmacies, not supported by a medical record. Duplicate Discounts - Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers Termination of ineligible offsite contract pharmacies from the 340B Program.* |
CAP approved |
Pancare of Florida, Inc. | CH0442450 | FL |
Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for subdivision name and address for grant associated sites; Ineligible outpatient facility registered on 340B OPAIS; Failed to remove a duplicate registration for a grant associated site from 340B OPAIS. |
Termination of grant associated site from the 340B Program* |
CAP implemented Audit closure date: August 24, 2022 |
Johns Hopkins All Children’s Hospital, Inc. | PED103300-00 | FL |
No adverse findings |
None |
N/A Audit closure date: April 15, 2022 |
AdventHealth Tampa | DSH100173 | FL |
No adverse findings |
None |
N/A Audit closure date: July 13, 2022 |
Tallahassee Memorial Healthcare, Inc. | DSH100135 | FL |
Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. |
None |
CAP implemented Audit closure date: August 21, 2023 |
Memorial Hospital Pembroke | DSH100230 | FL |
Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date, cost reporting period, and disproportionate share percentage. |
None |
CAP implemented Audit closure date: September 28, 2023 |
Nemours Childrens Hospital | PED103304-00 | FL |
Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. |
None |
CAP approved |
Hendry County Hospital Authority dba Hendry Regional Medical Center Contact InformationChief Financial Officer |
CAH101309-00 | FL |
Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period. Diversion - 340B drugs dispensed to inpatients Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding |
Repayment to manufacturers |
CAP approved |
Medical Center of Peach County | CAH111310-00 | GA |
No adverse findings |
None |
N/A Audit closure date: January 7, 2022 |
Mitchell County Hospital | CAH111331-00 | GA |
Incorrect 340B OPAIS record - Incorrect entry in 340B OPAIS for hospital control type; Incorrect entry in 340B OPAIS for address for offsite outpatient facility. Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. |
None |
CAP implemented Audit closure date: July 31, 2023 |
Phoebe Worth Medical Center | CAH111328-00 | GA |
No adverse findings |
None |
N/A Audit closure date: July 29, 2022 |
WellStar Spalding Regional Hospital | DSH110031 | GA |
No adverse findings |
None |
N/A Audit closure date: July 13, 2022 |
Phoebe Sumter Medical CenterContact Information340B Pharmacy Analyst 2000 Palmyra Road Albany, Georgia 31702 |
DSH110044 | GA |
Incorrect 340B OPAIS record - Failed to remove a duplicate registration of a contract pharmacy from 340B OPAIS. Diversion - 340B drugs dispensed to inpatients. |
Repayment to manufacturers |
CAP implemented Audit closure date: September 8, 2023 |
Dodge County HospitalContact InformationChief Financial Officer |
DSH110092 | GA |
Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date, cost reporting period, and disproportionate share percentage. Diversion - 340B drug dispensed to inpatient; 340B drugs dispensed at covered entity, and at contract pharmacies, not supported by a medical record. Duplicate Discounts - Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: November 3, 2023 |
Palmetto Health Council, Inc. | CH045260 | GA |
Incorrect 340B OPAIS record - Incorrect entry in 340B OPAIS for subdivision name for parent and grant associated sites; Grant associated site was not listed in 340B OPAIS. Duplicate Discounts - Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File. |
None |
CAP approved State Medicaid has since determined duplicate discounts did not occur. |
St. Luke’s Elmore Medical Center | CAH131311-00 | ID |
No adverse findings |
None |
N/A Audit closure date: July 14, 2022 |
Morrison Community Hospital | CAH141329-00 | IL |
Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period. |
None |
CAP implemented Audit closure date: February 23, 2023 |
Alivio Medical Center, Inc.Contact InformationChief Executive Officer |
CH056620 | IL |
Incorrect 340B OPAIS record - Grant associated sites were not listed in 340B OPAIS. Diversion - 340B drug dispensed at a contract pharmacy, not supported by a medical record. Duplicate Discounts - Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: February 23, 2023 |
Franklin Hospital District | CAH141321-00 | IL |
Incorrect 340B OPAIS record – Failed to remove a duplicate registration of a contract pharmacy from 340B OPAIS. |
None |
CAP implemented Audit closure date: December 21, 2022 |
McDonough District Hospital | SCH140089-00 | IL |
Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Medicare Cost Report filing date, cost reporting period and disproportionate share percentage. |
None |
CAP implemented Audit closure date: January 19, 2023 |
Crawford Hospital District DBA Crawford Memorial Hospital | CAH141343-00 | IL |
No adverse findings |
None |
N/A Audit closure date: August 25, 2022 |
MacNeal Hospital | DSH140054 | IL |
No adverse findings |
None |
N/A Audit closure date: October 19, 2022 |
Ann and Robert H. Lurie Children's Hospital of ChicagoContact InformationJenny Elhadary |
PED143300-00 | IL |
Incorrect 340B OPAIS record - Incorrect entry in 340B OPAIS for Medicare Cost Report file date, cost reporting period, and disproportionate share percentage. Duplicate Discounts - Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: September 8, 2023 |
Humboldt Park HealthContact InformationAuthorizing Official |
DSH140206 | IL |
Covered outpatient drugs obtained through a Group Purchasing Organization prior to April 11, 2022. Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date, cost reporting period, and disproportionate share percentage; Ineligible offsite outpatient facility registered in 340B OPAIS; Incorrect entry for Authorizing Official. Diversion - 340B drugs prescribed by ineligible providers. Duplicate Discounts - Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers Termination of ineligible offsite outpatient facility from the 340B Program* |
CAP implemented Audit closure date: October 13, 2023 |
Advocate Lutheran General Hospital | RRC140223-00 | IL |
Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. |
None |
CAP implemented Audit closure date: September 28, 2023 |
Decatur County Memorial Hospital | CAH151332-00 | IN |
No adverse findings |
None |
N/A Audit closure date: March 29, 2022 |
Palmer Lutheran Health Center | CAH161316-00 | IA |
No adverse findings |
None |
N/A Audit closure date: January 20, 2022 |
Buena Vista Regional Medical Center | CAH161375-00 | IA |
Incorrect 340B OPAIS record – Failed to remove contract pharmacy from 340B OPAIS that did not have a written contract in place. |
Termination of contract pharmacy from 340B Program* |
CAP implemented Audit closure date: May 25, 2022 |
Wayne County Hospital | CAH161358-00 | IA |
Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period. |
None |
CAP implemented Audit closure date: September 23, 2022 |
Clarinda Regional Health Center | CAH161352-00 | IA |
No adverse findings |
None |
N/A Audit closure date: |
Southeast Iowa Regional Medical Center | RRC160057-00 | IA |
Incorrect 340B OPAIS record - Failed to remove duplicate registrations of contract pharmacies from 340B OPAIS. |
None |
CAP implemented Audit closure date: March 14, 2023 |
Coffeyville Regional Medical Center, Inc. | SCH170145-00 | KS |
Incorrect 340B OPAIS record - Incorrect entry in 340B OPAIS for hospital classification.; Incorrect entries in 340B OPAIS for Medicare Cost Report file date, cost reporting period, and disproportionate share percentage. |
None |
CAP implemented Audit closure date: January 11, 2023 |
Hunter Health Clinic Inc., The | CH070150 | KS |
Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for name for grant associated site. |
None |
CAP implemented Audit closure date: October 12, 2022 |
UKHS Great Bend Campus | SCH170191 | KS |
Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date, cost reporting period, disproportionate share percentage, and hospital control type; Incorrect entry for address for offsite outpatient facility. Duplicate Discounts Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. |
None |
CAP implemented State Medicaid has since determined duplicate discounts did not occur. Audit closure date: August 25, 2023 |
ARH Mary Breckinridge Health Services, Inc. | CAH181328-00 | KY |
Incorrect 340B OPAIS record - Failed to remove a duplicate registration of a contract pharmacy from 340B OPAIS. Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. |
None |
CAP implemented Audit closure date: May 18, 2023 |
St. Joe - Flaget | DSH180025 | KY |
Incorrect 340B OPAIS record â Incorrect entry in 340B OPAIS for hospital control type. |
None |
CAP implemented Audit closure date: June 20, 2023 |
Hazard ARH Regional Medical Center | DSH180029 | KY |
Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. |
None |
CAP implemented Audit closure date: September 8, 2023 |
Tug Valley ARH Regional Medical Center | DSH180069 | KY |
Incorrect 340B OPAIS record - Incorrect entries for Authorizing Official and Primary Contact. Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. |
None |
CAP implemented Audit closure date: August 31, 2022 |
Kentucky Department for Public Health | STD40621 | KY |
Incorrect 340B OPAIS record - Incorrect entry for Primary Contact; Healthcare delivery sites were not listed in 340B OPAIS. |
None |
Pending |
Acadia General Hospital | DSH190044 | LA |
No adverse findings |
None |
N/A Audit closure date: September 12, 2022 |
Springhill Medical Center - Amended | SCH190088-00 | LA |
Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period; Incorrect entries for Primary Contact telephone number for offsite outpatient facilities. |
None |
CAP implemented Audit closure date: November 20, 2023 |
St. Thomas Community Health Center, Inc. | CHC12863-00 | LA |
Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for name; Failed to remove a duplicate registration of a contract pharmacy from 340B OPAIS. |
None |
CAP approved |
Lafayette General Medical CenterContact InformationAVP of Pharmacy |
DSH190002 | LA |
Incorrect 340B OPAIS record - Failed to remove a duplicate registration of a contract pharmacy from 340B OPAIS; Failed to remove closed contract pharmacy from 340B OPAIS; Incorrect entries in 340B OPAIS for Medicare Cost Report filing date, cost reporting period, and disproportionate share percentage. Diversion - 340B drug dispensed to inpatient. |
Repayment to manufacturers. Termination of ineligible contract pharmacy from the 340B Program* |
CAP implemented Audit closure date: December 12, 2023 |
University Hospital and ClinicsContact InformationDirector of Pharmacy - Ochsner University Hospital & Clinics |
DSH190006 | LA |
Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date, cost reporting period, and hospital control type; Failed to remove closed contract pharmacy from 340B OPAIS. Duplicate Discounts - Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers. Termination of ineligible contract pharmacy from the 340B Program.* |
CAP implemented Audit closure date: September 28, 2023 |
Maine Mobile Health Program, Inc. | CH01004M | ME |
Incorrect 340B OPAIS record –Incorrect entries in 340B OPAIS for names and address for grant associated sites. |
None |
CAP implemented Audit closure date: October 27, 2022 |
Maryland General Hospital | DSH210038 | MD |
No adverse findings |
None |
N/A Audit closure date: July 14, 2022 |
Choptank Community Health System, Inc.Contact InformationChief Executive Officer |
CH032750 | MD |
Incorrect 340B OPAIS record - Failed to remove closed contract pharmacy from 340B OPAIS. Duplicate Discounts - Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: October 13, 2023 |
Meritus Medical Center | DSH210001 | MD |
Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date, cost reporting period, and disproportionate share percentage; Failed to remove a duplicate registration of a contract pharmacy from 340B OPAIS. |
None |
CAP implemented Audit closure date: March 1, 2023 |
Union Memorial Hospital | DSH210024 | MD |
No adverse findings |
None |
N/A Audit closure date: December 15, 2022 |
Manet Community Health Center, Incorporated | CH011640 | MA |
Incorrect 340B OPAIS record – Grant associated site was not listed in 340B OPAIS. |
None |
CAP implemented Audit closure date: September 21, 2022 |
MidMichigan Medical Center – Gratiot | DSH230030 | MI |
Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Medicare Cost Report filing date, cost reporting period, and disproportionate share percentage. |
None |
CAP implemented Audit closure date: October 26, 2022 |
Packard Health, Inc.Contact InformationChief Financial Officer |
CHC29011-00 | MI |
Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: December 13, 2022 |
Spectrum Health Gerber | CAH231338-00 | MI |
Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period. |
None |
CAP implemented Audit closure date: December 13, 2022 |
Western Wayne Family Health Centers | CH0530900 | MI |
Incorrect 340B OPAIS record - Failed to remove closed contract pharmacy from 340B OPAIS. Diversion - 340B drugs dispensed at a contract pharmacy, not supported by a medical record. |
Termination of ineligible contract pharmacy from the 340B Program.* |
CAP implemented Audit closure date: February 9, 2024 |
First Care Medical Services | CAH241357-00 | MN |
No adverse findings |
None |
N/A Audit closure date: March 15, 2022 |
Kittson Memorial Hospital | CAH241336-00 | MN |
Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period. |
None |
CAP implemented Audit closure date: September 23, 2022 |
RiverView Healthcare Association | CAH241320-00 | MN |
No adverse findings |
None |
N/A Audit closure date: March 24, 2022 |
Madelia Community Hospital and Clinic | CAH241323-00 | MN |
Incorrect 340B OPAIS record – Offsite outpatient facility was not listed in 340B OPAIS; Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period; Incorrect entry for Authorizing Official. |
None |
CAP implemented Audit closure date: August 31, 2022 |
Cambridge Medical Center | DSH240020 | MN |
No adverse findings |
None |
N/A Audit closure date: July 27, 2022 |
New ULM Medical Center | CAH241378-00 | MN |
No adverse findings |
None |
N/A Audit closure date: August 8, 2022 |
St. Josephs Medical Center | SCH240075-00 | MN |
No adverse findings |
None |
N/A Audit closure date: July 27, 2022 |
Allina Health Faribault Medical Center | DSH240071 | MN |
No adverse findings |
None |
N/A Audit closure date: December 19, 2022 |
Rice Memorial Hospital | DSH240088 | MN |
Incorrect 340B OPAIS record - Incorrect entry in 340B OPAIS for hospital control type. Duplicate Discounts - Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented State Medicaid has since determined duplicate discounts did not occur. Audit closure date: January 24, 2024 |
Gillette Children's Specialty Healthcare | PED243300-00 | MN |
Incorrect 340B OPAIS record - Offsite outpatient facilities were not listed in 340B OPAIS. Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. |
None |
CAP implemented Audit closure date: January 4, 2024 |
Mercy Hospital | DSH240115 | MN |
Incorrect 340B OPAIS record - Entity improperly registered offsite outpatient facilities as shipping addresses in 340B OPAIS. Duplicate Discounts - Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. |
None |
CAP implemented State Medicaid has since determined duplicate discounts did not occur. Audit closure date: January 18, 2024 |
Baptist Memorial Hospital North Mississippi | RRC250034-00 | MS |
No adverse findings |
None |
N/A Audit closure date: November 1, 2022 |
Pontotoc Health Services | CAH251308 | MS |
Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date. |
None |
CAP approved |
Saint Luke's Hospital of Chillicothe dba Hedrick Medical Center | CAH261321-00 | MO |
No adverse findings |
None |
N/A Audit closure date: February 25, 2022 |
Ellett Memorial Hospital | CAH261301-00 | MO |
Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period; Failed to remove offsite outpatient facility from 340B OPAIS that was not operational; Failed to remove contract pharmacy from 340B OPAIS that did not have a written contract in place. |
None |
CAP implemented Audit closure date: September 8, 2023 |
Freeman Neosho Hospital | CAH261331-00 | MO |
No adverse findings |
None |
N/A Audit closure date: October 25, 2022 |
Putnam County Memorial Hospital | CAH261305-00 | MO |
Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date, cost reporting period, Authorizing Official phone number and Primary Contact phone number; Failed to remove contract pharmacy from 340B OPAIS that did not have a written contract in place. |
None |
CAP implemented Audit closure date: February 21, 2023 |
Cox Barton County Hospital | CAH261325-00 | MO |
Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. |
None |
CAP implemented Audit closure date: December 12, 2023 |
Madison Medical CenterContact InformationChief Financial Officer |
CAH261302-00 | MO |
Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period; Failed to remove closed contract pharmacy from 340B OPAIS. Diversion - 340B drugs prescribed by ineligible provider. |
Repayment to manufacturers |
CAP implemented Audit closure date: February 16, 2024 |
Southeast Health Center of Stoddard CountyContact Information340B CoordinatorSoutheast Health of Stoddard County |
DSH260160 | MO |
Duplicate Discounts - Entity billed Medicaid while not listed in on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: January 4, 2024 |
Cox Monett Hospital, Inc. | CAH261329-00 | MO |
Incorrect 340B OPAIS record - Ineligible offsite outpatient facilities registered in 340B OPAIS. Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period. |
Termination of ineligible offsite outpatient facilities* |
CAP implemented Audit closure date: June 7, 2023 |
Harrison County Community Hospital | CAH261312-00 | MO |
Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period. Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. |
None |
CAP implemented Audit closure date: June 27, 2023 |
Holy Rosary Healthcare | CAH271347-00 | MT |
Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. |
None |
CAP implemented Audit closure date: July 15, 2022 |
Providence Saint Joseph Medical Center | CAH271343-00 | MT |
No adverse findings |
None |
N/A Audit closure date: March 31, 2022 |
Community Hospital of Anaconda | CAH271335-00 | MT |
Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Medicare Cost Report file date and cost reporting period; Entity improperly registered a distribution site as a contract pharmacy in 340B OPAIS; Incorrect entry in 340B OPAIS for address for offsite outpatient facility. |
None |
CAP implemented Audit closure date: August 25, 2022 |
Alegent Creighton Health dba CHI Health Plainview | CAH281346-00 | NE |
Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for hospital control type. |
None |
CAP implemented Audit closure date: July 15, 2022 |
Boone County Health Center | CAH281334-00 | NE |
Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period. |
None |
CAP implemented Audit closure date: May 17, 2022 |
Antelope Memorial Hospital | CAH281326-00 | NE |
Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for Medicare Cost Report file date. |
None |
CAP implemented Audit closure date: July 12, 2022 |
Genoa Community Hospital | CAH281312-00 | NE |
Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period; Incorrect entries for Authorizing Official and Primary Contact. |
None |
CAP implemented Audit closure date: January 11, 2023 |
Jefferson Community Health Center DBA Jefferson Community Health & Life | CAH281319-00 | NE |
Incorrect 340B OPAIS record - Incorrect entry in 340B OPAIS for hospital classification. |
None |
CAP implemented Audit closure date: November 4, 2022 |
Sacred Heart Health Services dba Avera Creighton Hospital | CAH281331-00 | NE |
No adverse findings |
None |
N/A Audit closure date: May 25, 2022 |
Banner Churchill Community Hospital | CAH291313-00 | NV |
No adverse findings |
None |
N/A Audit closure date: March 17, 2022 |
Northern Nevada HIV Outpatient Program Education and ServicesContact InformationPharmacy Director |
CHC26605-00 | NV |
Incorrect 340B OPAIS record - Grant associated site was not listed in 340B OPAIS; Incorrect entries in 340B OPAIS for site ID and name for grant associated site. Duplicate Discounts - Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: October 4, 2023 |
Kennedy Memorial Hospital-UMCContact Information340B Manager |
DSH310086 | NJ |
Duplicate Discounts - Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers |
CAP approved |
Saint Peter's University HospitalContact InformationChief Financial Officer/Authorizing Official |
DSH310070 | NJ |
Duplicate Discounts - Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: September 15, 2023 |
North Hudson Community Action CorporationContact Information340B Coordinator800 31st Street |
CH024490 | NJ |
Incorrect 340B OPAIS record - Contract pharmacy was not registered in 340B OPAIS. Diversion - 340B drugs dispensed at a contract pharmacy, prescribed by ineligible provider. Duplicate Discount - Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers |
CAP approved |
UH – University Hospital | DSH310119 | NJ |
Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. |
None |
CAP implemented Audit closure date: May 5, 2023 |
Sierra Vista Hospital | CAH321300-00 | NM |
Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period; Incorrect entries for Authorizing Official name and phone number. |
None |
CAP implemented Audit closure date: November 8, 2022 |
Gerald Champion Regional Medical Center | DSH320004 | NM |
No adverse findings |
None |
N/A Audit closure date: November 1, 2022 |
UNM Truman Health Services | HV00130 | NM |
Incorrect 340B OPAIS record - Failed to remove a contract pharmacy from 340B OPAIS that did not have a written contract in place. |
Termination of ineligible contract pharmacy from the 340B Program.* |
CAP implemented Audit closure date: April 28, 2023 |
Adirondack Medical Center | SCH330079-00 | NY |
No adverse findings |
None |
N/A Audit closure date: January 11, 2022 |
Hudson River Healthcare, Inc. | CH021510 | NY |
Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for grant associated site names and address; Failed to remove grant associated sites from 340B OPAIS that were not operational. |
Termination of grant associated sites from the 340B Program* |
CAP implemented Audit closure date: |
Rochester General Hospital | DSH330125 | NY |
No adverse findings |
None |
N/A Audit closure date: January 7, 2022 |
Trillium Health, Inc.Contact InformationSenior Vice President, Compliance, Privacy, Technology & Regulatory Affairs |
FQHCLA342 | NY |
Duplicate Discounts - Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: September 13, 2023 |
United Memorial Medical Center | DSH330073 | NY |
No adverse findings |
None |
N/A Audit closure date: January 11, 2022 |
Champlain Valley Physicians Hospital | DSH330250 | NY |
Duplicate Discounts - Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. |
None |
CAP implemented State Medicaid has since determined duplicate discounts did not occur. Audit closure date: January 27, 2023 |
Family Health Network of Central New York, Inc.Contact InformationChief Executive Officer 85 S West Street Homer, NY 13077 607-753-3797 kosborne@familyhealthnetwork.org |
CH021240 | NY |
Incorrect 340B OPAIS record â Failed to remove contract pharmacy from 340B OPAIS that did not have a written contract in place. Duplicate Discounts â Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers Termination of contract pharmacy from 340B Program* |
CAP implemented Audit closure date: June 6, 2023 |
Coney Island Hospital (NYCHHC) | DSH330196 | NY |
Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report file date and cost reporting period. |
None |
CAP implemented Audit closure date: October 4, 2023 |
Medina Memorial Hospital | CAH331319-00 | NY |
Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Authorizing Official phone number; Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period. |
None |
CAP implemented Audit closure date: July 31, 2023 |
Nassau Health Care Corporation | DSH330027 | NY |
Incorrect 340B OPAIS record - Failed to remove contract pharmacy from 340B OPAIS that did not have a written contract in place. |
Termination of ineligible contract pharmacy from the 340B Program* |
CAP implemented Audit closure date: February 7, 2024 |
UPMC Chautauqua at WCAContact Information340B Director |
DSH330239 | NY |
Duplicate Discounts - Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: November 2, 2023 |
Jacobi Medical Center NYCHHC | DSH330127 | NY |
Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and disproportionate share percentage. Incorrect 340B OPAIS record - Offsite outpatient facilities were not listed in 340B OPAIS. |
None |
CAP implemented Audit closure date: January 24, 2024 |
Compassion Health Care, Inc. | CH044920 | NC |
No adverse findings |
None |
N/A Audit closure date: September 1, 2022 |
Greene County Health Care, IncorporatedContact InformationChief Executive Officer |
CH041020 | NC |
Incorrect 340B OPAIS record - Incorrect entries for Primary Contact; Incorrect entries in 340B OPAIS for site ID for grant associated sites. Diversion - 340B drugs prescribed by ineligible providers. Duplicate Discounts Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: August 22, 2023 |
Granville Medical CenterContact InformationChief Financial Officer |
DSH340127 | NC |
Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period. Diversion - 340B drug dispensed to inpatient. |
Repayment to manufacturers |
CAP implemented Audit closure date: October 13, 2023 |
Pitt County Memorial Hospital, Incorporated dba ECU Health Medical Center | DSH340040 | NC |
Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date, cost reporting period, and disproportionate share percentage; Incorrect entry in 340B OPAIS for shipping address; Failed to remove a duplicate registration of a contract pharmacy from 340B OPAIS. |
None |
CAP implemented Audit closure date: February 22, 2024 |
Grant Medical Center | DSH360017 | OH |
No adverse findings |
None |
N/A Audit closure date: May 13, 2022 |
Knox Community Hospital | SCH360040-00 | OH |
Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date, cost reporting period, and disproportionate share percentage. Duplicate Discounts - Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. |
None |
CAP implemented State Medicaid has since determined duplicate discounts did not occur. Audit closure date: February 22, 2024 |
Miami Valley Hospital | DSH360051 | OH |
Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. |
None |
CAP implemented Audit closure date: July 13, 2023 |
Health Partners of Western Ohio | CH0516380 | OH |
No adverse findings |
None |
N/A Audit closure date: March 1, 2023 |
Holzer Medical Center - Jackson | CAH361320-00 | OH |
Incorrect 340B OPAIS record - Incorrect entry in 340B OPAIS for hospital classification. |
None |
CAP implemented Audit closure date: February 15, 2024 |
Trinity Hospital Holding Company | RRC360211-00, DSH360211 | OH |
Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date, and disproportionate share percentage; Offsite outpatient facilities were not listed in 340B OPAIS; Incorrect entry in 340B OPAIS for shipping address. Duplicate Discounts - Entity billed Medicaid while not listed in on the HRSA Medicaid Exclusion File. |
None |
CAP implemented Audit closure date: February 28, 2024 |
Children's Hospital Medical Center of Akron | PED363303-00 | OH |
Incorrect 340B OPAIS record - Offsite outpatient facilities were not listed in 340B OPAIS; Incorrect entries in 340B OPAIS for addresses for offsite outpatient facilities; Failed to remove duplicate registrations from 340B OPAIS for an offsite outpatient facility. |
None |
CAP implemented Audit closure date: July 13, 2023 |
Pushmataha Family Medical Center, Inc. | CHC06453-00 | OK |
No adverse findings |
None |
N/A Audit closure date: July 29, 2022 |
Arkansas Verdigris Valley Health Centers, Inc. | CHC12887-00 | OK |
Incorrect 340B OPAIS record - Failed to remove contract pharmacies from 340B OPAIS that did not have a written contract in place. |
Termination of contract pharmacies from 340B Program* |
CAP implemented Audit closure date: March 14, 2023 |
Northeastern Health SystemContact InformationDirector of Pharmacy |
SCH370089-00 | OK |
Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date; Failed to remove terminated contract pharmacies from 340B OPAIS. Diversion - 340B drug dispensed to inpatient. Duplicate Discounts - Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers |
CAP approved |
Neighborhood Health Center | CHC24160-00 | OR |
No adverse findings |
None |
N/A Audit closure date: April 8, 2022 |
SHMC - RiverbendContact InformationSystem Director of Pharmacy Supply Chain & 340B Program |
DSH380102 | OR |
Duplicate Discounts - Entity's contract pharmacy was billing Medicaid without notification to HRSA. |
Repayment to manufacturers |
CAP implemented Audit closure date: March 21, 2023 |
Portland Adventist Medical Center dba Adventist Health PortlandContact InformationDirector of Pharmacy |
DSH380060 | OR |
Diversion - 340B drug dispensed to inpatient. Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. |
Repayment to manufacturers |
CAP approved |
B – K Health Center, Inc. | CH03048E | PA |
No adverse findings |
None |
N/A Audit closure date: January 7, 2022 |
Punxsutawney Area Hospital | SCH390199-00 | PA |
No adverse findings |
None |
N/A Audit closure date: February 2, 2022 |
Corry Memorial Hospital | CAH391308-00 | PA |
Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period. |
None |
CAP implemented Audit closure date: May 13, 2022 |
Robert Packer HospitalContact InformationChief Financial Officer Guthrie Hospitals |
RRC390079-00 | PA |
Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date, cost reporting period, and disproportionate share percentage. Duplicate Discounts - Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: September 12, 2023 |
LCH Health and Community Services formerly La Comunidad Hispania, IncContact InformationChief Executive Officer |
CHC24148-00 | PA |
Entity failed to maintain auditable records. Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. |
Repayment to manufacturers |
CAP implemented Audit closure date: September 8, 2023 |
St. Luke’s Hospital |
RRC390049-00 DSH390049 |
PA |
No adverse findings |
None |
N/A Audit closure date: July 13, 2022 |
Reading Hospital | DSH390044 | PA |
Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for shipping address for offsite outpatient facility. |
None |
CAP implemented Audit closure date: December 21, 2022 |
Welsh Mountain Health Centers | CHC00495-00 | PA |
Incorrect 340B OPAIS record – Entity improperly registered an entity-owned pharmacy as a grant associated site in 340B OPAIS. Incorrect 340B OPAIS record – Failed to remove contract pharmacies that did not have written contracts in place. Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File. |
Termination of ineligible contract pharmacies from the 340B Program.* |
CAP implemented Audit closure date: December 21, 2022 State Medicaid has since determined duplicate discounts did not occur. |
NEPA Community Healthcare, Hallstead FP Clinic | FP188225 | PA |
Incorrect 340B OPAIS record - Incorrect entry in 340B OPAIS for grant number. |
None |
CAP implemented Audit closure date: October 16, 2023 |
St. Luke's Quakertown Hospital | DSH390035 | PA |
Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date, cost reporting period, and disproportionate share percentage. Duplicate Discounts - Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. |
None |
CAP implemented Audit closure date: July 31, 2023 |
Thundermist Health Center | CH011820 | RI |
Incorrect 340B OPAIS record - Ineligible offsite outpatient facility registered in 340B OPAIS. Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. |
Termination of ineligible offsite outpatient facilities from the 340B Program.* |
CAP implemented Audit closure date: January 18, 2022 |
Landmark Medical Center | DSH410011 | RI |
Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for disproportionate share percentage and for Primary Contact. Entitys contract pharmacy was billing Medicaid without notification to HRSA. It was determined that duplicate discounts did not occur as a result of the finding. |
None |
CAP implemented Audit closure date: January 3, 2024 |
Self Regional Healthcare | DSH420071 | SC |
No adverse findings |
None |
N/A Audit closure date: October 7, 2022 |
Rhea Medical Center | CAH441310-00 | TN |
Incorrect 340B OPAIS record – Failed to remove closed offsite outpatient facility from 340B OPAIS. Incorrect 340B OPAIS record – Incorrect entry in 340B OPAIS for address for offsite outpatient facility. |
Termination of offsite outpatient facilities from the 340B Program.* |
CAP implemented Audit closure date: December 15, 2022 |
Memorial Hermann Sugar Land Hospital | DSH450848 | TX |
No adverse findings |
None |
N/A Audit closure date: May 12, 2022 |
Moore County Hospital District dba Memorial HospitalContact InformationChief Compliance Officer |
CAH451386-00 | TX |
Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period. Duplicate Discounts - Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: August 29, 2023 |
D.M. Cogdell Memorial HospitalContact InformationChief Operating Officer |
CAH451384-00 | TX |
Incorrect 340B OPAIS record â Incorrect entry in 340B OPAIS for hospital control type. Diversion â 340B drugs prescribed by ineligible providers. Duplicate Discounts - Entityâs contract pharmacies billed Medicaid without notification to HRSA. |
Repayment to manufacturers |
CAP implemented Audit closure date: June 20, 2023 |
Lamb County Hospital dba Lamb Healthcare CenterContact InformationChief Executive Officer |
SCH450698-00 | TX |
Entity did not meet eligibility requirements as a DSH hospital for the time period April 29, 2022, through Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date, disproportionate share percentage, and hospital control type. Diversion - 340B drugs dispensed at a contract pharmacy, not supported by a medical record. |
Repayment to manufacturers |
CAP implemented Audit closure date: January 24, 2024 |
Yoakum County Hospital | CAH451308-00 | TX |
Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period. Duplicate Discounts - Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. |
None |
CAP implemented State Medicaid has since determined duplicate discounts did not occur. Audit closure date: June 6, 2023 |
Asian American Health Coalition of the Greater Houston Area, Inc.Contact InformationChief Quality Officer |
CHC24153-00 | TX |
Duplicate Discounts - Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers |
CAP approved |
Midland Memorial Hospital | RRC450133-00 | TX |
Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date, cost reporting period, and disproportionate share percentage. Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. |
None |
CAP implemented Audit closure date: April 28, 2023 |
Grimes St. Joseph Health Center | CAH451322-00 | TX |
No adverse findings |
None |
N/A Audit closure date: December 16, 2022 |
United Regional Health Care System | SCH450010-00 | TX |
Incorrect 340B OPAIS record - Failed to remove closed contract pharmacy from 340B OPAIS. |
Termination of ineligible contract pharmacy from the 340B Program.* |
CAP implemented Audit closure date: June 26, 2023 |
Mother Frances Hospital-Winnsboro | CAH451381-00 | TX |
Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period; Failed to remove a duplicate registration of a contract pharmacy from 340B OPAIS; Failed to remove terminated contract pharmacy from 340B OPAIS. |
None |
CAP implemented Audit closure date: May 15, 2023 |
Moab Valley Healthcare, Inc. | CAH461302-00 | UT |
Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period. |
None |
CAP implemented Audit closure date: November 7, 2022 |
Northeast Washington County Community Health, Inc. | CHC08230-00 | VT |
Incorrect 340B OPAIS record - Incorrect entry in 340B OPAIS for Authorizing Official. |
None |
CAP implemented Audit closure date: February 2, 2023 |
St. Michael Medical Center | RRC500039-00 | WA |
No adverse findings |
None |
N/A Audit closure date: May 10, 2022 |
Valley Hospital and Medical Center | DSH500119 | WA |
No adverse findings |
None |
N/A Audit closure date: |
Yakima Valley Memorial Hospital | DSH500036 | WA |
No adverse findings |
None |
N/A Audit closure date: November 2, 2022 |
Kittitas County Public Hospital District #1Contact InformationDirector of Pharmacy |
CAH501333-00 | WA |
Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period. Diversion - 340B drug dispensed to inpatient. |
Repayment to manufacturers |
CAP implemented Audit closure date: January 3, 2024 |
Grafton City Hospital | CAH511307-00 | WV |
Incorrect 340B OPAIS record – Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period. |
None |
CAP implemented Audit closure date: July 27, 2022 |
Hospital Development Corporation dba Roane General Hospital | CAH511306-00 | WV |
Incorrect 340B OPAIS record - Incorrect entry in 340B OPAIS for Medicare Cost Report filing date. |
None |
CAP implemented Audit closure date: September 15, 2023 |
Mercy Health System Corporation | DSH520066 | WI |
Inaccurate or incomplete information on the HRSA Medicaid Exclusion File. It was determined that duplicate discounts did not occur as a result of the finding. |
None |
CAP implemented Audit closure date: May 18, 2023 |
Reedsburg Area Medical Center | CAH521351-00 | WI |
Incorrect 340B OPAIS record – Offsite outpatient facilities were not listed in 340B OPAIS. |
None |
CAP implemented Audit closure date: September 1, 2022 |
Marshfield Medical Center LadysmithContact Information340B Program Manager |
CAH521328-00 | WI |
Incorrect 340B OPAIS record - Incorrect entry in 340B OPAIS for hospital classification.; Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period. Duplicate Discounts - Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: January 27, 2023 |
St. Clare Memorial Hospital, Inc. | CAH521310-00 | WI |
Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period. |
None |
CAP implemented Audit closure date: January 27, 2023 |
Ascension Calumet Hospital, Inc. | CAH521317-00 | WI |
No adverse findings |
None |
N/A Audit closure date: November 15, 2022 |
Memorial Hospital of Carbon CountyContact InformationChief Financial Officer |
CAH531316-00 | WY |
Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for Medicare Cost Report filing date; Ineligible offsite outpatient facility registered in 340B OPAIS; Failed to remove duplicate registrations from 340B OPAIS for an offsite outpatient facility. Diversion - 340B drugs dispensed at contract pharmacies, not supported by a medical record. |
Termination of ineligible offsite outpatient facilities from the 340B Program Repayment to manufacturers |
CAP implemented Audit closure date: June 20, 2023 |
Washington Health InstituteContact InformationDirector of Operations |
STD20017 | DC |
Duplicate Discounts – Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File. |
Repayment to manufacturers |
CAP implemented Audit closure date: January 6, 2023 |
Migrant Health Center, Western Region, Inc. | CH021040 | PR |
Incorrect 340B OPAIS record – Entity improperly registered two pharmacies as grant associated sites in 340B OPAIS. |
None |
CAP implemented Audit closure date: August 27, 2022 |
*Note: Covered entity self-terminated cited facilities prior to termination of facilities by OPA.