Understand the facts about marketing and solicitation
Marketing and advertising are common practices among providers, but some special considerations apply when one participates in Medicaid.
Featured News
Summary report reviews five psychiatric and behavioral health teleservices providers
The OIG Audit and Inspections Division released a report that reviews 63,713 Texas Medicaid and Children's Health Insurance Program (CHIP) managed care teleservices claims from five providers.
Inspector General Winter reappointed
On March 6, Governor Abbott reappointed Raymond Charles Winter as Inspector General for Texas Health and Human Services.
Featured Reports
Joint Annual Interagency Coordination Report
The Joint Annual Interagency Coordination Report summarizes the collaborative activities of the HHS Office of Inspector General and Office of Attorney General Civil Medicaid Fraud Division and Medicaid Fraud Control Unit in the detection and prevention of fraud, waste and abuse in Texas Medicaid.
Quarterly Report: Quarter 1, FY 2025
The OIG published its first quarterly report for fiscal year 2025, summarizing the agency’s work and results achieved between September 1, 2024, and November 30, 2024.
Managed Care Pharmacy Benefit Services: Aetna Better Health of Texas Inc. and CaremarkPCS Health, LLC
Executive Summary - The audit objective was to determine whether Aetna and Caremark had processes and controls in place to ensure payments and reimbursements for managed care pharmacy benefit services (a) were based on net reimbursements to pharmacies, (b) were accurately reported to the state of Texas, and (c) complied with the Uniform Managed Care Contract and other applicable requirements. Issued October 31, 2024. Report No. AUD-25-004