OIG updates self-report protocol

The OIG has updated the protocol providers use to voluntarily disclose mistakes to the agency when correcting claims for Medicaid and other Texas Health and Human Services (HHS) programs.

Data driving new tactics in fighting fraud

The OIG is taking an increasingly data-driven approach to protecting Texas taxpayer dollars, leveraging algorithms and data analysis processes to fight fraud, waste and abuse.

Fraud Hotline results released for third quarter

The OIG Fraud Hotline reported 7,615 contacts in the third quarter of fiscal year 2023, subsequently referring 2,555 allegations for further investigation or action to the appropriate OIG division.

MCO improperly pays for ambulance services

A recent OIG inspection uncovered oversight issues involving non-emergency ambulance claims approved by Molina Healthcare of Texas, a Texas Medicaid managed care organization (MCO).