Pennsylvania Department of Human Services – PerformRx, LLC – An Audit of the Pharmacy Benefit Manager Services for the Physical HealthChoices Medicaid Program in Pennsylvania – Audit Period January 1, 2022 to December 31, 2022

The performance audit of the Pennsylvania Department of Human Services (DHS) and PerformRx, LLC focused on their management within the Physical HealthChoices Medicaid program. Conducted for 2022, it sought to evaluate DHS’s oversight of pharmacy claims and contracts, and PerformRx’s compliance with legal requirements. The audit identified three main findings.