Quarterly Report: Quarter 1, FY 2019
The OIG Quarterly Report for the first quarter of fiscal year 2019.

Bethesda Lutheran Homes and Services: A Texas Medicaid Home and Community-Based Services Program Provider
This audit evaluated whether fee-for-service claims submitted by and paid to Bethesda Lutheran were authorized, documented, and billed in accordance with the HCS provider agreement and with state rules and guidelines. Issued December 14, 2018.

Audit of Avita Drugs: A Texas Vendor Drug Program Provider
The audit evaluated Avita Drugs to determine whether it properly billed VDP and complied with contractual and state requirements, and evaluated IT general controls to determine whether data used for audit testing was reliable. Issued November 30, 2018.

Audit of Passage of Youth Family Center: Child-Placing Agency Residential Child-Care Contract with the Texas Department of Family and Protective Services
The audit evaluated Passage of Youth to determine whether it (a) used state funds as intended for foster children, (b) conducted oversight of foster parents, and (c) implemented and updated children’s service plans. Issued November 30, 2018.

Audit of Security Controls Over Confidential HHS System Information: Amerigroup Texas, Inc.
The audit was conducted to determine whether confidential HHS System information in the custody of Amerigroup and its subcontractors was protected from unauthorized access, loss, or disclosure. Issued November 30, 2018.

Audit of Lakes Regional MHMR Center: A Texas Medicaid Home and Community-Based Services Program Provider
This audit evaluated whether claims for residential support services and supervised living submitted by and paid to Lakes Regional and authorizations for other HCS services existed were properly documented. Issued November 30, 2018.

Audit of Mission Road Developmental Center: A Texas Medicaid Home and Community-Based Services Program Provider
This audit evaluated whether claims for residential support services and supervised living submitted by and paid to Mission Road and authorizations for other HCS services existed were properly documented. Issued November 30, 2018.

Audit of Cystic Fibrosis Services, Inc.: A Texas Vendor Drug Program Provider
The audit evaluated Cystic Fibrosis Services, Inc. to determine whether it properly billed VDP and complied with contractual and state requirements, and evaluated IT general controls to determine whether data used for audit testing was reliable. Issued November 26, 2018.

Joint OIG-MFCU Report
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 2018.

MCO Fraud Recoveries Report
The Annual Report on Certain Fraud and Abuse recoveries for fiscal year 2018.

SSLC Investigations Report
The Annual Report of State Supported Living Center Investigations for fiscal year 2018.

State Hospital Investigations Report
The Annual Report of State Hospital Investigations for fiscal year 2018.

Data Review: Medicaid Lock-In Program
This data review provides an overview of the Medicaid Lock-In Program, which is used to restrict the overuse of medical services.

Presentation to House Committee on General Investigating and Ethics
The OIG presentation given to the House Committee on General Investigating and Ethics on October 25, 2018.

Audit of Coastal Plains Community Center: A Medicaid HCS Provider
The objectives of this audit were to determine whether claims were authorized, documented, and billed in accordance with the provider agreement, state rules, and guidelines Results indicated no exceptions for the records or claims tested. Issued October 15, 2018.