OIG updates audit and inspections plan for new fiscal year

The OIG updated the Audit and Inspections Plan for fiscal year 2023, which outlines potential audit and inspections areas and topics.

The OIG Audit and Inspections Division conducts a continuous risk assessment to identify potential topics to include in its Audit and Inspections Plan. Potential audit and inspections topics consist of programs, services, providers and contractors with an elevated potential for fraud, waste and abuse.

Projects are updated periodically in response to continuously changing risks in an evolving environment and to accommodate requests for audit and inspection services. They are planned and initiated based on current priorities and staff availability.

Among the Texas Health and Human Services:

  • Regulation of day care facilities
  • The Clinical Management for Behavioral Health Services system
  • Comprehensive rehabilitation services

Contractor audit topics include:

  • Selected agency and program contracts
  • Select Substance Use Disorder treatment facilities
  • Pharmacy Benefits Manager spread pricing

Provider audits include:

  • Selected Vendor Drug Program providers
  • Prescribed pediatric extended care centers

Information Technology audits include:

  • IT security controls, continuity of operations and disaster recovery plans
  • MCO Application Controls

Inspections topics include:

  • Nursing facility procedures to transfer patients to emergency rooms
  • Nursing facility controls to report abuse, neglect, and exploitation
  • Pharmacy controls for prescribed opioids and other controlled substances

You can read the full list of planned topics in the Audit and Inspections Plan.