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  4. Program Integrity: FY24 Audit Results

Program Integrity: FY24 Audit Results

Updated 11/29/24. 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.

Results posted for 90 audits.
Entity Sort descending 340B ID State OPA Findings Sanction Corrective Action Status
Augusta Medical Center SCH490018 VA

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 at covered entity for prescriptions written at ineligible sites.

None

Pending

Aultman Orrville Hospital CAH361323 OH

Incorrect 340B OPAIS record - Entity improperly registered listed contract pharmacy as shipping address 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

Pending

Banner Gateway Medical Center DSH030122 AZ

No adverse findings

None

N/A

Audit closure date: May 1, 2024

Baptist Hospital DSH100093 FL

Incorrect 340B OPAIS record - Ineligible offsite outpatient facilities registered on 340B OPAIS; Offsite outpatient facility was not listed in 340B OPAIS; Failed to remove a closed contract pharmacy from 340B OPAIS; Failed to remove a duplicate registration of a contract pharmacy from 340B OPAIS.

Diversion - 340B drug dispensed at contract pharmacy for prescription written at ineligible site.

Duplicate Discounts - Inaccurate or incomplete information on the HRSA Medicaid Exclusion File.

Termination of ineligible offsite outpatient facilities*

Repayment to manufacturers

Pending

Baptist Memorial Hospital Desoto RRC250141-00 MS

No adverse findings

None

N/A

Audit closure date: May 14, 2024

Baystate Medical Center DSH220077 MA

No adverse findings

None

N/A

Audit closure date: May 1, 2024

Beatrice Community Hospital CAH281364-00 NE

No adverse findings

None

N/A

Audit closure date: September 5, 2024

Benson Hospital CAH031301 AZ

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

Pending

Blessing Hospital SCH140015-00 IL

Incorrect 340B OPAIS record - Offsite outpatient facility was not listed in 340B OPAIS.

None

CAP approved

Borinquen Health Care Center Inc CH040310 FL

Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for name for grant associated sites.

Duplicate Discounts - Entity billed Medicaid while not listed on the HRSA Medicaid Exclusion File.

Repayment to manufacturers

Pending

Broadlawns Medical Center DSH160101 IA

No adverse findings

None

N/A

Audit closure date: April 19, 2024

Broward Health Coral Springs DSH100276 FL

No adverse findings

None

N/A

Audit closure date: April 10, 2024

Burnett Medical Center Inc CAH521331 WI

Incorrect 340B OPAIS record - Incorrect entry in 340B OPAIS for Medicare Cost Report filing date.

None

Pending

Caldwell County Hospital CAH181322 KY

Incorrect 340B OPAIS record - Registered contract pharmacy that did not have a written contract in place.

Diversion - 340B drugs dispensed for prescriptions written at ineligible sites.

Repayment to manufacturers

Pending

Written contract pharmacy agreement has since been updated to include cited contract pharmacy.

CAN Community Health, Inc. - BHW STD333171 FL

No adverse findings

None

N/A

Audit closure date: April 19, 2024

Castle Medical Center dba Adventist Health Castle DSH120006 HI

Duplicate Discounts - Inaccurate or incomplete information on the HRSA Medicaid Exclusion File.

None

State Medicaid has since determined duplicate discounts did not occur.

CentraCare Health - Benson, LLC CAH241365-00 MN

No adverse findings

None

N/A

Audit closure date: May 24, 2024

Central Florida Family Health Center, Inc. CH041720 FL

No adverse findings

None

N/A

Audit closure date: May 13, 2024

Centura Mercy Hospital DSH060013 CO

No adverse findings

None

N/A

Audit closure date: April 19, 2024

CHI St. Anthony Hospital CAH381319-00 OR

No adverse findings

None

N/A

Audit closure date: April 10, 2024

Clay County Medical Center CAH171371-00 KS

No adverse findings

None

N/A

Audit closure date: May 3, 2024

Clay County Medical Corporation DSH250067 MS

No adverse findings

None

N/A

Audit closure date: May 13, 2024

Community Health Systems, Inc. CH030790 WV

No adverse findings

None

N/A

Audit closure date: October 25, 2024

Community Hospital DSH060054 CO

No adverse findings

None

N/A

Audit closure date: May 13, 2024

Cook Children's Medical Center PED453300-00 TX

No adverse findings

None

N/A

Audit closure date: May 1, 2024

Delaware County Memorial Hospital CAH161343-00 IA

No adverse findings

None

N/A

Audit closure date: May 3, 2024

Duke University Hospital DSH340030 NC

No adverse findings

None

N/A

Audit closure date: August 23, 2024

Emanate Health Medical Center DSH050382 CA

Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for addresses for parent site and offsite outpatient facilities.

Duplicate Discounts - Inaccurate or incomplete information on the HRSA Medicaid Exclusion File.

Repayment to manufacturers

Pending

Fairview Hospital DSH360077 OH

No adverse findings

None

N/A

Audit closure date: August 22, 2024

Fall River Health Services CAH431322-00 SD

Incorrect 340B OPAIS record - Incorrect entry in 340B OPAIS for hospital classification.

Diversion - 340B drug dispensed at contract pharmacy for prescription written at ineligible site.

Repayment to manufacturers

Pending

Floyd County Hospital CAH161347-00 IA

Incorrect 340B OPAIS record - Incorrect entry in 340B OPAIS for Medicare Cost Report filing date and cost reporting period.

None

Pending

Fordland Clinic CHC28965-00 MO

No adverse findings

None

N/A

Audit closure date: June 10, 2024

Gouverneur Hospital CAH331315-00 NY

No adverse findings

None

N/A

Audit closure date: April 10, 2024

H. B. Magruder Memorial Hospital CAH361314-00 OH

Diversion - 340B drug dispensed for prescription written at ineligible site.

Repayment to manufacturers

Pending

Harlan ARH Hospital DSH180050 KY

Incorrect 340B OPAIS record - Incorrect entry in 340B OPAIS for shipping address.

Diversion - 340B drug dispensed to inpatient

Repayment to manufacturers

Pending

HealthFirst Bluegrass Inc CH048140 KY

No adverse findings

None

N/A

Audit closure date: October 22, 2024

His Branches, Inc. FQHCLA370 NY

No adverse findings

None

N/A

Audit closure date: April 19, 2024

Holy Cross Hospital DSH210004 MD

Incorrect 340B OPAIS record - Incorrect entry in 340B OPAIS for Medicare Cost Report filing date, cost reporting period, and disproportionate share percentage.

None

Pending

IHC Health Services, Inc. dba Fillmore Community Hospital CAH461301-00 UT

No adverse findings

None

N/A

Audit closure date: April 19, 2024

Infant Welfare Society of Chicago FQHCLA417 IL

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 approved

Jefferson County Hospital CAH371311-00 OK

Incorrect 340B OPAIS record - Incorrect entry in 340B OPAIS for hospital classification; Offsite outpatient facility was not listed in 340B OPAIS; Entity improperly listed distribution site as shipping address in 340B OPAIS.

None

Pending

Kremmling Memorial Hospital District CAH061318-00 CO

Incorrect 340B OPAIS record - Offsite outpatient facilities were not listed in 340B OPAIS.

None

Pending

Lakewood Health System CAH241329-00 MN

Incorrect 340B OPAIS record - Offsite outpatient facilities were not listed in 340B OPAIS.

None

Pending

Lewis County Primary Care Center, Inc. CH048980 KY

No adverse findings

None

N/A

Audit closure date: May 2, 2024

Limestone Medical Center CAH451303-00 TX

Incorrect 340B OPAIS record - Failed to remove contract pharmacies from 340B OPAIS that did not have a written contract in place.

Termination of contract pharmacy from 340B Program

CAP implemented

Audit closure date: September 19, 2024

Lockney General Hospital District CAH451337-00 TX

No adverse findings

None

N/A

Audit closure date: April 16, 2024

Los Angeles County Department of Health Services - Los Angeles General Medical Center DSH050373 CA

Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for name and shipping address; Failed to remove duplicate registrations from 340B OPAIS for offsite outpatient facilities.

Duplicate Discounts - Inaccurate or incomplete information on the HRSA Medicaid Exclusion File.

Repayment to manufacturers

Pending

Loyola University Medical Center DSH140276 IL

Incorrect 340B OPAIS record - Failed to remove a duplicate registration of a contract pharmacy from 340B OPAIS.

None

CAP implemented

Audit closure date: August 28, 2024

Maine Coast Memorial Hospital SCH200050-00 ME

Incorrect 340B OPAIS record - Offsite outpatient facility was not listed in 340B OPAIS.

None

Pending

Margaretville Hospital CAH331304-00 NY

No adverse findings

None

N/A

Audit closure date: April 12, 2024

Marshall Browning Hospital Association CAH141331-00 IL

Diversion - 340B drugs dispensed at contract pharmacies, for prescriptions written at ineligible sites.

Repayment to manufacturers

Pending

Mathiesen Memorial Health Clinic FQHC638549 CA

Incorrect 340B OPAIS record - Offsite outpatient facilities were not listed in 340B OPAIS.

Duplicate Discounts - Entity's contract pharmacies were billing Medicaid without notification to HRSA.

Repayment to manufacturers

Pending

McCurtain Memorial Hospital
Contact Information

Drug Room Supervisor
1301 E Lincoln Rd, Idabel, OK, 74745
scout.dorsey@mmhok.com
580-208-3371

CAH371342-00 OK

Diversion - 340B drug dispensed to inpatient

Repayment to manufacturers

CAP implemented

Audit closure date: October 8, 2024

Mercy Hospital Lincoln CAH261319 MO

No adverse findings

None

N/A

Audit closure date: August 22, 2024

Mercy Medical Center, Redding DSH050280 CA

No adverse findings

None

N/A

Audit closure date: May 13, 2024

Methodist Children's Hospital dba Covenant Children's Hospital PED453306-00 TX

No adverse findings

None

N/A

Audit closure date: April 25, 2024

Methodist H/C Olive Branch Hospital DSH250167 MS

No adverse findings

None

N/A

Audit closure date: May 31, 2024

Morrow County Health District FP43338 OH

Incorrect 340B OPAIS record - Incorrect entry in 340B OPAIS for entity name.

None

Pending

Mount Desert Island Hospital CAH201304-00 ME

Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for address for offsite outpatient facilities; Incorrect entries in 340B OPAIS for Medicare Cost Report filing date and cost reporting period.

None

Pending

Munson Healthcare Otsego Memorial Hospital SCH230133-00 MI

No adverse findings

None

N/A

Audit closure date: June 24, 2024

Newman Memorial County Hospital CAH171384-00 KS

No adverse findings

None

N/A

Audit closure date: April 10, 2024

Northland Cares RWII86305 AZ

No adverse findings

None

N/A

Audit closure date: June 24, 2024

Our Lady of the Lake DSH190064 LA

No adverse findings

None

N/A

Audit closure date: May 13, 2024

Owensboro Health Regional Hospital DSH180038 KY

No adverse findings

None

N/A

Audit closure date: September 13, 2024

Page Memorial Hospital CAH491307-00 VA

Incorrect 340B OPAIS record - Failed to remove duplicate registrations from 340B OPAIS for an offsite outpatient facility; Incorrect entry in 340B OPAIS for Primary Contact for offsite outpatient facilities.

None

Pending

Provident Hospital of Cook County DSH140300 IL

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

Pending

Queen's Medical Center, The DSH120001 HI

No adverse findings

None

N/A

Audit closure date: April 26, 2024

Redington-Fairview General Hospital CAH201314-00 ME

Incorrect 340B OPAIS record - Offsite outpatient facilities were not listed in 340B OPAIS; Incorrect entry 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

Pending

Richland Hospital Inc., The CAH521341-00 WI

Incorrect 340B OPAIS record - Incorrect entries in 340B OPAIS for name and shipping address for contract pharmacy.

None

Pending

Rural Health Access Corporation FQHCLA337 WV

Incorrect 340B OPAIS record - Offsite outpatient facilities were not listed in 340B OPAIS.

None

Pending

Russell Medical Center DSH010065 AL

Incorrect 340B OPAIS record - Offsite outpatient facility was not listed in 340B OPAIS; Failed to remove closed contract pharmacies from 340B OPAIS.

Duplicate Discounts - Inaccurate or incomplete information on the HRSA Medicaid Exclusion File.

Repayment to manufacturers

Pending

Saint Hope Foundation CHC26587-00 TX

Incorrect 340B OPAIS record - Incorrect entry in 340B OPAIS for address for a grant associated site.

None

Pending

Shawnee Christian Healthcare Center, Inc. CHC28961-00 KY

No adverse findings

None

N/A

Audit closure date: October 4, 2024

Soldiers And Sailors Memorial Hospital of Yates County CAH331314-00 NY

No adverse findings

None

N/A

Audit closure date: June 24, 2024

Southern Indiana Community Health Care Inc CHC33650-00 IN

No adverse findings

None

N/A

Audit closure date: May 13, 2024

Springfield Regional Medical Center DSH360086 OH

No adverse findings

None

N/A

Audit closure date: April 30, 2024

St. Luke's Jerome, Ltd. CAH131310 ID

No adverse findings

None

N/A

Audit closure date: August 22, 2024

St. Luke's McCall, LTD CAH131312-00 ID

No adverse findings

None

N/A

Audit closure date: September 5, 2024

St. Marys Medical Center DSH240002 MN

No adverse findings

None

N/A

Audit closure date: April 24, 2024

Sumner Community Club dba Community Memorial Hospital CAH161320-00 IA

No adverse findings

None

N/A

Audit closure date: April 19, 2024

Swedish Edmonds DSH500026 WA

No adverse findings

None

N/A

Audit closure date: April 26, 2024

Three Rivers Hospital CAH441303-00 TN

No adverse findings

None

N/A

Audit closure date: April 17, 2024

Unity Medical Center DSH440007 TN

Incorrect 340B OPAIS record - Incorrect entry in 340B OPAIS for disproportionate share percentage.

None

Pending

University of Connecticut Health Center RWI06030 CT

No adverse findings

None

N/A

Audit closure date: May 2, 2024

Valley Regional Hospital CAH301308-00 NH

Incorrect 340B OPAIS record - Incorrect entry in 340B OPAIS for address for offsite outpatient facility.

None

CAP implemented

Audit closure date: September 25, 2024

Webster Memorial Hospital, Inc. CAH511301-00 WV

No adverse findings

None

N/A

Audit closure date: April 19, 2024

Wellsboro CAH391316-00 PA

No adverse findings

None

N/A

Audit closure date: April 19, 2024

Wilson Medical Center CAH171344-00 KS

No adverse findings

None

N/A

Audit closure date: May 1, 2024

Winchester Medical Center SCH490005-00 VA

Incorrect 340B OPAIS record - Failed to remove contract pharmacies from 340B OPAIS that did not have a written contract in place; Incorrect entries in 340B OPAIS for Medicare Cost Report filing date, cost reporting period, and disproportionate share adjustment percentage.

Termination of contract pharmacies

Pending

Winona Health Services SCH240044-00 MN

Incorrect 340B OPAIS record - Failed to remove a duplicate registration of a contract pharmacy from 340B OPAIS.

None

Pending

*Note: Covered entity self-terminated cited facilities prior to termination of facilities by OPA.

Date Last Reviewed: