6th State of New Hampshire to reach agreement with Centene on drug benefit services

The New Hampshire Department of Justice announced a $ 21 million settlement with Centene and two of its subsidiaries – Granite State Health Plan and NH Healthy Families – over the payor’s drug benefit services.

The Justice Department has raised concerns about Centene’s handling of cost reporting for prescription drug and drug benefits to the state’s Medicaid program, according to a Jan.6 press release.

Between January 2016 and December 2021, the state predicts that the payer’s misrepresentation resulted in losses of $ 2.4 million for the state. The state used a Centene formula used in similar surveys and its own projections to determine the amount of the $ 21 million settlement.

The regulation rejects the need for further investigation, review or potential litigation, according to the press release.

“This settlement represents a significant clawback for New Hampshire taxpayers who adequately compensate the state for the financial harm it has suffered,” said New Hampshire Attorney General John Formella. “We appreciate Centene’s willingness to engage with the state to resolve this matter swiftly and fairly. While this settlement is important, we will not fall victim to complacency and will continue to take action to protect the financial interests of the state and its taxpayers. “

The state’s investigation came after it saw similar issues between Centene and Medicaid programs in other states, according to the Justice Department. Centene has already settled similar allegations in Arkansas, Illinois, Ohio, Mississippi and Kansas.

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