BPI intake unit helps increase identified recoveries
In effort to streamline and make investigative processes more efficient, the OIG’s Benefits Program Integrity Division has a designated intake unit to screen, prioritize and validate referrals.
OIG audits Medicaid managed transport organization
The audit objective was to determine whether Medical Transportation Management’s (MTM) performance in selected areas was in accordance with contract requirements.
OIG issues dental solicitation advisory
This OIG advisory outlines how to prevent being the target of fraud or abuse by dental solicitors.
How has Medicaid responded to opioid abuse?
Patient review and restriction programs are commonly called “Lock-in” programs and are used to restrict the overuse of medical services, such as prescription drugs.
OIG audits Medicaid medical transportation organization
The OIG conducted an audit to determine if a Texas Medicaid managed transportation organization met contract requirements.
OIG finds duplicate payments to psychiatric hospitals
The OIG conducted an audit of Texas Department of Family and Protective Services child-specific contracts for individuals in state conservatorship who received inpatient services from a psychiatric hospital.
OIG audits protection of confidential information
The OIG conducted an audit to assess the effectiveness of security controls over confidential HHS system information stored by an MCO.
Pharmacy audit finds $96,000 due to state
The OIG conducted an audit of a pharmacy to determine whether it properly billed the Vendor Drug Program and complied with contractual and state requirements.
El Paso BPI team receives award
The El Paso Benefits Program Integrity (BPI) team is part of a task force honored as “Best Team” by Homeland Security Investigations.
Self-report leads to $7 million settlement agreement
A self-report by a provider to both the federal OIG and Texas OIG led to a successful collaboration between the agencies to achieve a settlement agreement for $7,000,000.