OIG careers offer chance to build a future while serving fellow Texans
The OIG is a dedicated team, committed to providing Texans with confidence that their taxpayer dollars are being used efficiently and appropriately for Texas Health and Human Services (HHS) programs.
Featured News
OIG secures $7.2 million in settlements with two statewide hospital systems for improper emergency department billing
The OIG has agreed to resolve cases with two hospital systems after claims data showed each had received millions in improper reimbursements.
Telehealth billing errors lead to overpayment
The OIG conducted an audit that found a Houston-area mental health and intellectual and developmental disabilities provider incorrectly billed Medicaid for some teleservices, leading to overpayments.
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