Centene to Pay Indiana $66.5 Million in Latest Medicaid Overbilling Settlement

  • Indiana AG Todd Rokita reached a settlement with pharmacy benefit manager (PBM) Centene Corporation and its subsidiaries (collectively, “Centene”) in connection with alleged overcharges by Centene to Indiana’s Medicaid program for pharmaceutical costs.
  • According to the AG’s office, Centene allegedly inflated dispensing fees while serving as a PBM and failed to disclose true pharmacy benefits and services costs, causing overcharges to Indiana’s Medicaid program.
  • Under the terms of the settlement, Centene will pay $66.5 million to the state. Although it made no admission of liability, the company also acknowledged an obligation to comply with the requirements of Indiana’s laws while serving as a PBM in the state.
  • Indiana is the latest of several states to settle with Centene regarding Medicaid overbilling allegations, including the company’s recent $44.4 million settlement with Iowa.