Reports

KD Business Solutions
The OIG Audit and Inspections Division contracted Myers and Stauffer LC to determine whether pharmacy claims billed to, and paid under, the state Medicaid program were in accordance with applicable state and federal Medicaid laws, regulations, rules, policies and contractual requirements. Issued June 20, 2025. OIG Report No. AUD-25-019.

Anderson Cherokee Community Enrichment Services (ACCESS): A Local Mental Health Authority Contracted with the Texas Health and Human Services Commission
Executive Summary - The audit objective was to determine whether ACCESS complied with selected state and contractual requirements. Issued June 12, 2025. OIG Report No. AUD-25-018.

The Projects for Assistance in Transition from Homelessness (PATH) Program Metrocare Services
Executive Summary - The audit objective was to determine whether Dallas County MHMR Center, doing business as Metrocare Services, performed PATH program activities in compliance with state requirements. Issued May 27, 2025. OIG Report No. AUD-25-017.

Central Plains Center: A Local Mental Health Authority Contracted with the Texas Health and Human Services Commission
Executive Summary - The audit objective was to determine whether Central Plains Center complied with selected state and contractual requirements. Issued May 20, 2025. OIG Report No. AUD-25-016.

El Dorado Texas Community Service Center: A Substance Use Medication Assisted Treatment Provider
Executive Summary - HHSC-contracted substance use disorder medication assisted treatment facilities provide services to Texas residents who meet financial and clinical eligibility requirements. The audit objective was to determine whether El Dorado provided services in accordance with applicable requirements and accurately billed for services provided. Issued May 12, 2025. Report Executive Summary No. AUD-25-015

Informational Report: Community Centers with Local Mental Health Authority and Local Behavioral Health Authority Designations in Texas
Executive Summary - This informational report provides information about LMHA and LBHA coverage in Texas, services provided, delivery methods, state and federal funding from HHSC, service delivery processes, and requirements. Issued March 14, 2025 and revised April 23, 2025. OIG Report No. AUD-25-010.

West Texas Centers: A Local Mental Health Authority Contracted with the Texas Health and Human Services Commission
Executive Summary - The audit objective was to determine whether West Texas Centers complied with selected state and contractual requirements. Issued April 17, 2025. OIG Report No. AUD-25-013.

Immunotherapy Services in Texas Medicaid: Imran Baig, M.D.
Executive Summary - The audit objective was to determine whether claims submitted for immunotherapy services complied with applicable requirements. Issued April, 17, 2025. Report No. AUD-25-014.

Nursing Facility Transfers to Emergency Rooms: Seven Acres Jewish Senior Care Services, Inc.
Executive Summary - The inspection objective was to determine whether Seven Acres initiated resident transfers to emergency rooms in accordance with applicable requirements. Issued April 11, 2025. OIG Report No. INS-25-009.

AllOne Health Resources, Inc.: An Employee Assistance Program Services Provider Contracted with the Texas Department of Family and Protective Services
Executive Summary - The audit objective was to determine whether AllOne Health Resources, Inc. complied with selected Texas Department of Family and Protective Services employee assistance program contractual requirements. Issued April 9, 2025. OIG Report No. AUD-25-012.

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.

Centers for Independent Living: San Antonio Independent Living Services
Executive Summary - San Antonio Independent Living Services (SAILS), a center for independent living (CIL), generally complied with requirements when providing purchased services, which include goods and services purchased to assist people in meeting their independent living goals. Issued March 26, 2025. Report No. AUD-25-011.

Cypress Creek Rehabilitation and Healthcare Center: Nursing Facility Abuse, Neglect, Exploitation, and Misappropriation
Executive Summary - The inspection objective was to determine whether Cypress Creek Rehabilitation and Healthcare Center has processes and procedures to document and report abuse, neglect, exploitation, and misappropriation incidents as required by state law. Issued March 20, 2025. Report No. INS-25-008

Paradigm at Faith Memorial: Nursing Facility Abuse, Neglect, Exploitation, and Misappropriation
Executive Summary - The inspection objective was to determine whether Paradigm at Faith Memorial (Faith Memorial) has processes and procedures to document and report abuse, neglect, exploitation, and misappropriation incidents as required by state law. Issued March 18, 2025. Report No. INS-25-007

MCO Provider Claims Appeals: Community First Health Plans
The OIG conducted this inspection to determine whether Community First tracks, resolves, and reports provider claims appeals as required. Issued March 14, 2025. Report No. INS-25-006