February 2019

January 2019

Issue Briefs

Issue Brief: Encounter Data
This Issue Brief outlines how the OIG uses encounter data (a record of paid claims by MCOs and DMOs) to monitor and detect fraud, waste, and abuse. Issued January 17, 2019.

Inspections

Automated Monthly Social Security Number Verification
This report details the inspection to determine if HHSC Access and Eligibility Services properly addresses non-verified Social Security numbers to prevent ineligible client enrollment in Texas Medicaid. Issued January 3, 2019.