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.
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.
Know before you hire: Screening prospective employees
Providers must assist the state in maintaining client safety by verifying that potential and current employees have not been excluded from the state's Medicaid program.
OIG reviews retailers’ compliance with WIC program rules
The OIG's Vendor Monitoring Unit completed 88 compliance buys in the first quarter of fiscal year 2025.
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.
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.
MCOs did not properly document all non-covered services in financial reports
Two Texas MCOs improperly coded some case-by-case services in their Financial Statistical Reports for fiscal year 2022.
Invoice reconciliation keeps Medicaid-enrolled pharmacies in compliance
Pharmacy invoice reconciliation investigations ensure that claims submitted to Medicaid are consistent with medication purchase records.