ENHANCING THE SC MEDICAID CLASS ACTION DRUG RECOUPMENT PROCESS

Abstract

A class action case lead audit was conducted by the Casualty Department in an attempt to identify Medicaid Beneficiaries who ingested a specific class action drug and they also received medical treatment specific to those caused by the class action drug. The results of the audit revealed a large number of MB who took the drug, received injury related treatment, but they were not active participants in the Global Class Action Law Suits. The Casualty Department active cases averaged about 2% of the MB identified through the audit. The goal of this project is to further enhance the current class action recoupment process and to increase revenue for SCDHHS.