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One tool managed care organizations (MCOs) use to reduce fraud, waste and abuse (FWA) is a team of in-house investigators known as the special investigative units (SIUs).
The OIG Electronic Benefits Transfer (EBT) Trafficking Unit investigates allegations of retailers' misuse or trafficking of Supplemental Nutrition Assistance Program (SNAP) benefits.
The OIG conducted site visits at two locations operated by Lighthouse for the Blind of Houston, a facility licensed to provide services to deaf blind with multiple disabilities (DBMD) clients.
As part of the OIG's mission to protect Texas taxpayer dollars, the agency investigates fraud allegations against clients receiving benefits from the Supplemental Nutrition Assistance Program (SNAP).
The OIG conducted an audit of claims submitted by Medcare Clinics for psychiatric services to ensure the provider billed Medicaid and the Children’s Health Insurance Program correctly for telemedicine services.
The OIG's Provider Investigations unit (PI) completed 498 preliminary investigations and 68 full investigations in the third quarter of fiscal year 2022.
State health officials are reminding long-term care facilities to safeguard their residents by reviewing and updating their emergency response plans.
A Katy resident was indicted in June for defrauding Medicaid of more than $600,000.
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.
The OIG published its third quarterly report for fiscal year 2022. The report contains important agency metrics, case highlights and information for OIG stakeholders.