Provider Investigations reports third-quarter results
The OIG's Provider Investigations unit (PI) completed 498 preliminary investigations and 68 full investigations in the third quarter of fiscal year 2022.
Long-term care providers encouraged to update emergency plans
State health officials are reminding long-term care facilities to safeguard their residents by reviewing and updating their emergency response plans.
Joint investigation leads to arrest for defrauding Medicaid
A Katy resident was indicted in June for defrauding Medicaid of more than $600,000.
OIG produces home health fraud prevention video
Preventing fraud, waste and abuse before it can happen is a priority for the OIG. Collaborating with our partners across the health care delivery system helps us do that.
OIG recovers nearly $162 million in third quarter
The OIG published its third quarterly report for fiscal year 2022. The report contains important agency metrics, case highlights and information for OIG stakeholders.
OIG audits rehabilitation center’s patient notifications and staff training procedures
The OIG audited Le Rêve Rehabilitation and Memory Care (Le Rêve) to determine if staffing requirements were met for patient safety and review whether clients were properly notified about facility certifications.
Texas Exclusions Database helps providers protect their patients
The Texas Exclusions Database simplifies applicant screening for Medicaid providers, offering the ability to better protect their patients with real-time verification of potential employees before they are hired.
Auditors recommend improvements to MCO’s special investigative unit
The OIG audited the Community First Health Plans, Inc. special investigative unit (SIU) and determined it did not consistently meet requirements designed to reduce fraud, waste and abuse.
OIG developing new tools to combat SNAP fraud with help of USDA grant
The OIG continues to enhance fraud detection using funds from a U.S. Department of Agriculture (USDA) grant to build data-driven methods of identifying Supplemental Nutrition Assistance Program (SNAP) fraud.
OIG audits mental health care provider’s billing for telehealth
The OIG conducted an audit of claims for psychiatric services to ensure the Center for Comprehensive Mental Health in McAllen billed correctly for telemedicine services.