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The Texas Health and Human Services Office of Inspector General (OIG) is receiving reports of two scams targeting clients of the Supplemental Nutrition Assistance Program (SNAP).

The OIG recently inspected 16 managed care organizations (MCOs) to review their process for verifying a laboratory service provider’s Clinical Laboratory Improvement Amendments (CLIA) certification.

The OIG Fraud Hotline handled 6,657 calls and other points of contact in the third quarter of fiscal year 2022.

The OIG Audit and Inspections Team recently conducted an unannounced site visit to the Matagorda House Healthcare Center as part of an annual risk assessment for Texas nursing facilities.

The OIG released the findings of an audit on the San Antonio Metropolitan Health District’s (Metro Health) administration of a $5.6 million grant issued to reduce sexually transmitted diseases. 

Providers continue to participate in the OIG’s self-report process, choosing to collaborate to reduce fraud, waste and abuse.

An OIG Fraud Detection Operation (FDO) focused on indicators for potential fraud, waste and abuse among durable medical equipment (DME) providers.

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.