Reports

The IG Quarterly Report for the first quarter of fiscal year 2022.

Final audit reports are posted to the OIG website when issued. These reports are subject to appeal upon timely, written, proper requests for appeal, as provided for in rule. These final audit reports are public records and remain posted on the website during and after an appeal.

The Joint Annual Report on Fraud and Abuse in Medicaid, compiled by OIG and the Attorney General's Medicaid Fraud Control Unit, for fiscal year 2021.

The Annual Report on Certain Fraud and Abuse recoveries for fiscal year 2021.

The audit objective was to determine if the Visiting Nurse Association of Texas provided and billed for services in compliance with selected requirements. Issued November 16, 2021.

The Annual Report of State Hospital Investigations for fiscal year 2021.

The Annual Report of State Supported Living Center Investigations for fiscal year 2021

The audit objective was to determine if the El Paso City-County Nutrition Program provided and billed for services in compliance with selected requirements. Issued October 28, 2021. OIG Report No. AUD-22-004.

The audit objective was to evaluate whether EduCare Community Living Corporation – Texas provided Medicaid beneficiaries living in three- and four-person residences with safe and healthy living environments, as defined by the HHSC Waiver Survey and Certification Residential Checklist and the COVID-19 emergency rules for the Home and Community-Based Services program. Issued October 15, 2021.

The audit objective was to determine whether documentation to support the authorization and delivery of durable medical equipment (DME) and supplies associated with Medicaid claims submitted by and paid to Cook Children’s Home Health by Cook Children’s Health Plan existed and was completed in accordance with applicable state laws, rules, and guidelines. Issued September 30, 2021.

The IG Quarterly Report for the fourth quarter of fiscal year 2021.

OIG evaluated whether Cenikor’s Region 6 residential withdrawal management and intensive residential treatment services (a) were provided in accordance with selected regulations and contractual requirements and (b) supported the payment received. Issued September 29, 2021.

The annual PARIS-VA Match Report for fiscal year 2021.

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.