The OIG conducted an audit of Medicaid managed care claims paid to Rx Plus Pharmacy of Live Oak (Rx Plus) by Superior HealthPlan, Inc., a managed care organization.
The OIG Fraud Detection Operation (FDO) team identified three occupational therapy/physical therapy (OT/PT) service providers with claims indicating services were provided via telehealth.
During the fourth quarter of fiscal year 2021, the OIG settled cases in multiple health care categories, beginning the process of recovering funds for the state of Texas.
NorthgateArinso, Inc. became the outsourced human resources and payroll contractor for the Texas Health and Human Services (HHS) on May 1, 2013.
The OIG conducted an audit of the Visiting Nurse Association of Texas (VNA).
Through proactive efforts, the OIG prevented $44 million in potentially questionable spending during fiscal year 2021.
Data analytics provide a vital tool in the OIG’s fraud detection operations.
The OIG's EBT trafficking data analysis identified a trend of recipients who receive high dollar amounts of Pandemic Supplemental Nutritional Assistance Program (P-SNAP) benefits using social media to sell their
The Texas Medicaid Vendor Drug Program requests the OIG perform continuous audits of pharmacies enrolled in the program.
The Benefits Program Integrity (BPI) division completed 5,172 investigations in the fourth quarter of fiscal year 2021, involving some form of benefit recipient overpayment or fraud allegation.