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Federal Contractor Misconduct Database (FCMD)

The federal government routinely awards contracts to companies with histories of misconduct, including contract fraud and other violations. POGO believes that providing this website will help to improve contracting decisions and increase public knowledge of how the government spends billions of taxpayer dollars each year. Read more…

Failure to Comply With Medicare Part D Requirements – May 2016

The Department of Health and Human Services’ Centers for Medicare and Medicaid Services (CMS) imposed a $31,950 civil penalty on Centene Corporation for failing to provide its enrollees with medical services and prescription drug benefits in accordance with CMS requirements. An audit of Centene’s Medicare operations in May 2016 found that Centene failed to comply with Medicare requirements related to Medicare Part D formulary and benefit administration and coverage determinations, appeals, and grievances. CMS found Centene’s failures in these areas were systemic and adversely affected, or had the substantial likelihood of adversely affecting, enrollees. The enrollees experienced, or likely experienced, delayed or denied access to covered benefits, increased out-of-pocket costs, and/or inadequate grievance or appeal rights.

Misconduct Type
Consumer Affairs
Enforcement Agency
Health and Human Services
Contracting Party
Health and Human Services
Court Type
Administrative
Disposition
Fine
Date of Fine
1/12/2017
Contractors Involved Penalty
Total
Centene Corporation $31,950
Further Information Released
CMS Letter 1/12/2017

Federal Contractor Misconduct Database