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).

Providers encouraged to self-report billing errors

Providers who identify errors in claims have an avenue to voluntarily disclose mistakes to the OIG and work with the agency to correct claims for Medicaid and other Texas Health and Human Services programs.