Medicaid providers penalized for illegal dental solicitation
The OIG continues to pursue a variety of cases related to dental solicitation.
Data analytics informs future OIG COVID-related work
COVID-19’s taxing impact on the health care industry has the potential to create opportunities for errors in and exploitation of the Texas Medicaid system.
East Texas defendant sentenced to prison
The OIG’s Benefits Program Integrity (BPI) unit collaborated with the Social Security Administration to resolve a Smith County case.
Audit recommends MCO payment improvements
The OIG conducted an audit of State of Texas Access Reform PLUS (STAR+PLUS) nursing facility claims paid by Superior HealthPlan, Inc. (Superior), a managed care organization (MCO).
OIG refers case to Texas Medical Board
An OIG nurse analyst and provider field investigator reviewed the medical records of a family medicine physician in Garland. The provider appeared as an outlier in a data review of prescribers.
OIG publishes Quarterly Report for first quarter of FY21
The Office of Inspector General published its first Quarterly Report for fiscal year 2021. The report summarizes the excellent work performed by the OIG during the past three months.
Hospice executive sentenced to prison for health care fraud
The owner of a Texas chain of hospice companies has been sentenced to 20 years in federal prison for his role in a $150 million health care scheme.
BPI recovers $33 million in FY 2020
The Benefits Program Integrity (BPI) division completed more than 16,000 investigations involving some form of benefit recipient overpayment or fraud allegation in fiscal year 2020.
Call the OIG Fraud Hotline if you suspect wrongdoing
Tips from the public to the OIG Fraud Hotline help ensure that Texas Medicaid funds are not lost to fraud.
OIG inspection focuses on SSLC hiring and training
State Supported Living Centers (SSLCs) provide around-the-clock, campus-based services to nearly 3,000 residents with intellectual and developmental disabilities in 13 facilities across Texas.