Fraud Detection Operation efforts lead to investigations
The OIG Fraud Detection Operation (FDO) team identified three behavioral health service providers who submitted claims for service that were flagged by data algorithms.
EBT Trafficking Unit reports second-quarter results
The OIG Electronic Benefits Transfer (EBT) Trafficking Unit conducts investigations on allegations of the misuse or trafficking of Supplemental Nutrition Assistance Program (SNAP) benefits by retailers.
Texas providers continue to self-report overpayments
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.
OIG Data Initiatives Project Team reports record recoveries
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.
OIG recovers fraudulent benefits payments
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.
Joint investigation leads to 45-month sentence
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.
Provider Investigations reports second quarter results
The OIG's Provider Investigations unit (PI) completed 441 preliminary investigations and 53 full investigations in the second quarter of fiscal year 2022.
OIG audit finds facility lacked proper certification
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.
OIG reports fraud hotline results
The OIG Fraud Hotline handled 5,995 calls and other points of contact in the second quarter of fiscal year 2022.
OIG explains the coding review process for Texas Medicaid dental providers
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.