Infinity Pharmacy Solutions: A Texas Vendor Drug Program Provider
The audit evaluated Infinity Pharmacy Solutions, LLC 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 June 23, 2020.
June 2020
Medicaid Claims for Bradley Frank
The OIG Audit and Inspections Division contracted Myers and Stauffer, LC to audit behavioral health records to verify services provided to recipients, paid by Texas Medicaid. Issued June 15, 2020.
May 2020
Audit of Medicaid and CHIP MCO Special Investigative Units: Molina Healthcare of Texas
The audit evaluated Molina’s policies and practices associated with preventing, detecting, investigating, and reporting fraud, waste and abuse. Issued May 22, 2020.
Tarrytown Expocare, LLC: A Texas Vendor Drug Program Provider
The audit evaluated Tarrytown Expocare, LLC 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 May 11, 2020.
April 2020
Security Controls Over Confidential HHS System Information: El Paso Health
The audit assessed the design and effectiveness of selected security controls over confidential HHS System information stored and processed by El Paso Health. Issued April 24, 2020.
March 2020
Quarterly Report: Quarter 2, FY 2020
The OIG Quarterly Report for the second quarter of fiscal year 2020.
Medicaid STAR+PLUS Nursing Facility Risk Groups: Reporting Errors Affected Risk Group Assignments
The audit focused on members with a discrepancy between utilization and nursing facility risk group categorization for at least 12 months during the audit scope and concluded that HHSC overpaid $1.38 million to MCOs for Medicaid recipients not eligible for managed care. Published March 30, 2020.
February 2020
STAR+PLUS Waiver Program Assessments and Services Delivered: Amerigroup Insurance Company
This audit determined whether Amerigroup properly assessed members to participate in the Home and Community Based Services (HBCS) Waiver in the Medicaid Rural Service Area (MRSA) West. Issued February 28, 2020.
Collin County MHMR Center: A Local Intellectual and Developmental Disability Authority Performance Contract
This audit tested whether Collin County MHMR Center coordinated services to enrollees, monitored and evaluated service delivery, and reported general revenue expenses according to contract requirements. Issued February 28, 2020. Revised March 6, 2020.
Easter Seals Rio Grande Valley: A Texas DFPS Contractor
The audit was to determine whether controls over contract funds were in place and data was reported to DFPS in accordance with contract terms. No issues were noted. Issued February 26, 2020.
Audit of City Drug Company: A Texas Vendor Drug Program Provider
The audit evaluated City Drug Company 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 February 20, 2020.
January 2020
Audit of DentaQuest USA Insurance Company: A Texas Medicaid and CHIP Dental Maintenance Organization
The audit objective was to evaluate the DentaQuest’s effectiveness in complying with selected contract requirements, achieving related contract outcomes, and reporting financial and performance results to HHSC. Issued January 9, 2020.