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More providers are participating in the OIG self-report process so they can determine if they need to disclose overpayments received from participation in Texas Health and Human Services (HHS) programs.

The OIG continues to broaden its use of data analysis to help uncover fraud, waste and abuse (FWA) trends in the health care system by assessing potentially problematic behavior patterns.

The OIG Benefits Program Integrity (BPI) unit investigates allegations of overpayments to clients participating in the benefits programs administered by the Texas Health and Human Services Commission. 

Jamie Aguilar was sentenced to prison after falsely claiming to be a U.S. citizen and fraudulently receiving more than $247,000 in government benefits.

The OIG's Provider Investigations unit (PI) completed 441 preliminary investigations and 53 full investigations in the second quarter of fiscal year 2022.

The OIG conducted a risk assessment audit on Village Green Alzheimer’s Care Home in Cypress, an assisted living facility licensed by Texas Health and Human Services to serve up to 16 people.

The OIG Fraud Hotline handled 5,995 calls and other points of contact in the second quarter of fiscal year 2022.

Ensuring Texas Medicaid dollars are spent for their intended purpose requires the OIG to work with health care professionals to prevent fraud, waste and abuse.

The OIG published its second quarterly report for fiscal year 2022. The report contains important agency statistics, case highlights and information for OIG stakeholders.

The OIG’s Benefits Program Integrity (BPI) division completed 4,385 investigations in the first quarter of fiscal year 2022, involving some form of benefit recipient overpayment or fraud allegation.