Maryland failed to audit $675M in Medicaid pharmacy claims: 5 notes

Maryland's Department of Health missed auditing $675 million in Medicaid pharmacy claims in fiscal 2025, according to a July audit by the Maryland Office of Legislative Audits. This oversight left a significant portion of the state's healthcare funding vulnerable to fraud, waste, abuse, and billing violations without necessary checks. The failure highlights systemic issues in oversight that could have broader implications for public health funding and taxpayer trust. Addressing this lapse is crucial for ensuring the integrity and efficiency of Medicaid spending.