Quarterly Report: Quarter 2, FY 2025

The OIG published its second quarterly report for fiscal year 2025, summarizing the agency’s work and results achieved between December 1, 2024, and February 28, 2025.

Inspector General Winter reappointed

On March 6, Governor Abbott reappointed Raymond Charles Winter as Inspector General for Texas Health and Human Services. View the Governor’s press release here.

Joint Annual Interagency Coordination Report

The Joint Annual Interagency Coordination Report summarizes the collaborative activities of the HHS Office of Inspector General and Office of Attorney General Civil Medicaid Fraud Division and Medicaid Fraud Control Unit in the detection and prevention of fraud, waste and abuse in Texas Medicaid.

Quarterly Report: Quarter 1, FY 2025

The OIG published its first quarterly report for fiscal year 2025, summarizing the agency’s work and results achieved between September 1, 2024, and November 30, 2024.

Managed Care Pharmacy Benefit Services: Wellpoint Texas, Inc.; Wellpoint Insurance Company; CarelonRx Inc.; and CaremarkPCS Health, LLC

Executive Summary - The audit objective was to determine whether Wellpoint, CarelonRx, and Caremark had processes and controls in place to ensure payments and reimbursements for managed care pharmacy benef

Managed Care Pharmacy Benefit Services: Aetna Better Health of Texas Inc. and CaremarkPCS Health, LLC

Executive Summary - The audit objective was to determine whether Aetna and Caremark had processes and controls in place to ensure payments and reimbursements for managed care pharmacy benefit services (a) we

PARIS-VA Match Report

The annual PARIS-VA Match Report for fiscal year 2024.

Quarterly Report: Quarter 4, FY 2024

The OIG published its fourth quarterly report for fiscal year 2024, summarizing the agency’s work and results achieved between June 1, 2024, and August 31, 2024.

Rolling Audit and Inspections Plan 2025

The OIG has updated its Rolling Audit and Inspections Plan, which outlines potential audit and inspections areas and topics.

Quarterly Report: Quarter 3, FY 2024

The OIG published its third quarterly report for fiscal year 2024, summarizing the agency’s work and results achieved between March 1, 2024, and May 31, 2024.

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