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.
Keep your emergency preparedness plan updated
The National Weather Service hurricane predictions for 2023 forecast 14-21 named storms, of which almost half could become hurricanes before dissipating.
Audit identifies data errors in pharmacy’s record submissions
During a recent audit of a specialty pharmacy, the OIG found that 44 out of 120 prescriptions had conflicting data between the number of authorized refills and the number of refills printed on the dispensing labe
OIG recovers more than $22.3 million in benefit overpayments during third quarter
The OIG’s Benefits Program Integrity (BPI) unit completed 3,459 investigations involving some form of benefit recipient overpayment or fraud allegation in the third quarter of fiscal year 2023.
Audit of family violence program contractor’s expenses finds potential waste of program funds
An audit of purchases by Women’s Protective Services of Lubbock uncovered opportunities for fraud, waste and abuse of taxpayer funds.
Provider Investigations releases third quarter results
During the third quarter of fiscal year 2023, the OIG Provider Field Investigations team opened 559 preliminary investigations, completing 543 and transferring 55 cases to full-scale investigations.
Inspection of local mental health authority shows payment errors for inpatient care
A recent inspection of PermiaCare, a local mental health authority servicing West Texas, found discrepancies and errors in payments made to inpatient psychiatric hospitals subcontracted to treat eligible clients.
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).