Pennsylvania Auditor General Tim Defoor and agency officials differ on “spread pricing” for Medicaid

(Story written by Noah Haswell of Beaver County Radio, Published on August 29, 2024 at 10:36 A.M.)

(Harrisburg, PA) Pennsylvania Auditor General Tim Defoor and agency officials are disagreeing about money paid by pharmacies. Defoor released a report Wednesday that claimed the Department of Human Services caused $7 million in difference between reimbursement and price of the health plan for a prescription, which is “spread pricing” in 2022. However, agency officials have considered the differences as “transmission fees.” The report also noted that around 2.8 million Pennsylvanians are participating in The Physical Health Choices program involved with Medicaid.