Reports

The Harris Center for Mental Health and Intellectual and Developmental Disabilities (IDD)
Executive Summary - The audit objective was to determine whether Harris Center (a) billed teleservices accurately and in accordance with applicable requirements and (b) designed and implemented related internal controls over teleservices. Issued September 3, 2024. OIG Report No. AUD-25-001.

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.The OIG Audit and Inspections Division conducts a continuous risk assessment to identify potential topics for inclusion in its Rolling 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.

Bluebonnet Trails Community Services: A Local Mental Health Authority Contracted with the Texas Health and Human Services Commission
Executive Summary - The audit objective was to determine whether Bluebonnet Trails Community Services complied with selected state and contractual requirements. Issued August 29, 2024. OIG Report No. AUD-24-033.

National Seating & Mobility
The OIG Audit and Inspections Division contracted Myers and Stauffer LC to determine whether paid MCO DME 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 August 29, 2024. OIG Report No. AUD-24-032.

Managed Care Pharmacy Encounters Paid to Omnicare Pharmacy
Executive Summary - The audit objective was to determine whether Omnicare Pharmacy (a) properly dispensed prescriptions associated with selected encounters for Texas Medicaid members enrolled with Superior HealthPlan, Inc., UnitedHealthcare Community Plan of Texas, L.L.C., and UnitedHealthcare Insurance Company, Inc., and (b) complied with applicable contractual, state, and federal requirements. Issued August 28, 2024. OIG Report No. AUD-24-029.

Betty Hardwick Center: A Local Mental Health Authority Contracted with the Texas Health and Human Services Commission
Executive Summary - The audit objective was to determine whether Betty Hardwick Center complied with selected state and contractual requirements. Issued August 28, 2024. OIG Report No. AUD-24-030.

Texana Center: A Local Mental Health Authority Contracted with the Texas Health and Human Services Commission
Executive Summary - The audit objective was to determine whether Texana Center complied with selected state and contractual requirements. Issued August 28, 2024. OIG Report No. AUD-24-031.

My Health My Resources Concho Valley: A Local Mental Health Authority Contracted with the Texas Health and Human Services Commission
Executive Summary - The audit objective was to determine whether My Health My Resources Concho Valley complied with selected state and contractual requirements. Issued August 27, 2024. OIG Report No. AUD-24-028.

Managed Care Pharmacy Encounters Paid to Meadowbrook Pharmacy
Executive Summary - The audit objective was to determine whether Meadowbrook Pharmacy (a) properly dispensed prescriptions associated with selected encounters for Texas Medicaid and CHIP members enrolled with Cook Children’s Health Plan, Wellpoint Texas, Inc., and Wellpoint Insurance Company and (b) complied with applicable contractual, state, and federal requirements. Issued August 23, 2024. OIG Report No. AUD-24-027.

Follow-Up Assessment on a Previously Published Audit Report — Cenikor Foundation: A Substance Use Disorder Treatment Provider in Region 7
The objective of the follow-up assessment was to determine the resolution status of OIG Audit’s previously identified issues at Cenikor, which included testing the effectiveness of management activities designed to remediate the identified issues. Issued August 22, 2024. OIG Report No. AUD-24-026.

ReCept Pharmacy #31
The OIG Audit and Inspections Division contracted Myers and Stauffer LC to determine whether pharmacy claims billed and paid under the state Medicaid program were in accordance with applicable state and federal Medicaid laws, regulations, rules, policies, and contractual requirements. Issued August 20, 2024. OIG Report No. AUD-24-025.

Allergy Immunotherapy Services in Texas Medicaid: Calvary Medical
Executive Summary - The audit objective was to determine whether claims submitted by Calvary Medical Clinic for allergy immunotherapy services complied with selected guidelines. Issued August 16, 2024. OIG Report No. AUD-24-024

Comfort & Care Medical Supplies, Inc.
The OIG Audit and Inspections Division contracted Myers and Stauffer LC to determine whether paid MCO DME and medical supply 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 August 15, 2024. OIG Report No. AUD-24-022.

Pediatric Home Service
The OIG Audit and Inspections Division contracted Myers and Stauffer LC to determine whether paid MCO medical supply 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 August 15, 2024. OIG Report No. AUD-24-023.

Nueva Vida Behavioral Health Associates
The OIG Audit and Inspections Division contracted Myers and Stauffer LC to determine whether behavioral health 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 August 8 2024. OIG Report No. AUD-24-021.