Quarterly Report: Quarter 1, FY 2022
The OIG Quarterly Report for the first quarter of fiscal year 2022.
December 2021
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 2021.
November 2021
MCO Fraud Recoveries Report
The Annual Report on Certain Fraud and Abuse recoveries for fiscal year 2021.
The Visiting Nurse Association of Texas: A Texas Home-Delivered Meals Program Provider
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.
SSLC Investigations Report FY 2021
The Annual Report of State Supported Living Center Investigations for fiscal year 2021
State Hospital Investigations Report FY 2021
The Annual Report of State Hospital Investigations for fiscal year 2021.
October 2021
El Paso City-County Nutrition Program: A Texas Home-Delivered Meals Program Provider
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.
Health and Safety of Medicaid Beneficiaries in HHSC Home and Community Based Services Program EduCare Community Living Corporation Texas
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.
September 2021
Quarterly Report: Quarter 4, FY 2021
The OIG Quarterly Report for the fourth quarter of fiscal year 2021.
Managed Care Claims Submitted by Cook Children’s Home Health and Paid by Cook Children’s Health Plan: A Texas Medicaid Durable Medical Equipment and Supplies Provider
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.
Cenikor Foundation: Region 6 Substance Use Disorder Treatment Provider
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.
Rolling Audit and Inspections Plan
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.
PARIS-VA Match Report
The annual PARIS-VA Match Report for fiscal year 2021.
Consolidated SB 30 Report
The Consolidated Senate Bill 30 Annual Report for fiscal year 2021.