How is HRSA addressing duplicate discount risks in Medicaid managed care audits?

HRSA’s 2026 audit focus has shifted toward detecting duplicate discounts in Medicaid managed care claims. Auditors now require covered entities to document claim-level logic linking their EHR data to state encounter systems. This increased scrutiny targets inconsistent carve‑in declarations and state-level identification failures that let 340B claims slip into rebate files.