OIG inspection of local mental health authority provides opportunity to improve contracting process
During a recent inspection of Tropical Texas Behavioral Health, a local mental health authority, the OIG reviewed a sample of six invoices representing 121 patient records for psychiatric hospitalizations and found
Inspection follow-up finds all recommendations implemented
A recent follow-up inspection of the skilled nursing facility Mira Vista Court found that previous issues with accurately accounting for direct care hours had been resolved.
Out-of-state shopping leads to new taskforce
The Benefits Program Integrity team has activated a new task force to review whether out-of-state purchases are due to short-term travel or if the client has moved out of Texas.
Building a career with the OIG
The OIG is a dedicated team, committed to providing Texans with confidence that their taxpayer dollars are being used efficiently and appropriately for Texas health and human services programs.
Fraud detection operation examines pharmacy providers
The OIG’s Medicaid Program Integrity (MPI) team conducted a fraud detection operation to examine prescription services billed to Texas Medicaid at a level above and beyond that of the providers’ peers.
Medicaid was overbilled for more than $45,000 for telehealth visits
OIG auditors found a behavioral health services provider double-billed the state for telemedicine visits and improperly submitted claims for facility fees that were not provided.
OIG Hotline provides path to report fraud
During the first quarter of fiscal year 2024, the OIG Fraud Hotline received 9,111 contacts with fraud, waste or abuse allegations.
Pharmacy errors led to more than $18,000 in overpayments
Recently, OIG auditors found a managed care pharmacy based in Houston had dispensed prescriptions to Medicaid clients with errors in records, printed instructions and medication strength.
OIG celebrates 20 years of protecting Texas HHS programs
Since 2004, the Office of Inspector General (OIG) has been providing oversight to Texas health and human services, uncovering fraud, waste and abuse.
OIG reports $101.5 million in first quarter recoveries
The Office of Inspector General published its first quarter report for fiscal year 2024, with performance metrics, case summaries and agency highlights.