Joint Annual Interagency Coordination Report
The Joint Annual Interagency Coordination Report summarizes the collaborative activities of the HHS Office of Inspector General and Office of Attorney General Civil Medicaid Fraud Division and Medicaid Fraud Control Unit in the detection and prevention of fraud, waste and abuse in Texas Medicaid

Quarterly Report: Quarter 1, FY 2024
The OIG published its first quarterly report for fiscal year 2024, summarizing the agency’s work and results achieved between September 1 and November 30, 2023.

Baylor Scott & White Health: A Texas Medicaid Provider
Executive Summary - The audit objective was to determine whether (a) teleservices provided by Baylor Scott & White Health were billed accurately and in accordance with applicable requirements and (b) related internal controls over teleservices were designed and operating effectively. Issued November 29, 2023. OIG Report No. AUD-24-002.

Annual Report on Certain Fraud and Abuse Recoveries by Managed Care Organizations
Required by Texas Government Code, Section 531.1132, the Annual Report on Certain Fraud and Abuse Recoveries by Managed Care Organizations details recoveries during the preceding fiscal year resulting from investigations by managed care organization special investigative units.

Managed Care Claims Submitted by Respiratory & Medical Homecare Unlimited
The inspection objective was to determine whether Respiratory & Medical Homecare Unlimited supported its wound care supply claims according to guidelines. Issued October 31, 2023. OIG Report No. INS-24-003

State Supported Living Center Investigations Report FY 2023
The Annual Report of State Supported Living Center Investigations for fiscal year 2023.

State Hospital Investigations Report FY 2023
The Annual Report of State Hospital Investigations for fiscal year 2023.

Managed Care Claims Submitted by Medical Plus Supplies
The inspection objective was to determine whether Medical Plus Supplies supported its wound care supply claims according to guidelines. Issued October 10, 2023. OIG Report No. INS-24-002

Managed Care Claims Submitted by Byram Healthcare Centers
Executive Summary - The inspection objective was to determine whether Byram supported its wound care supply claims according to guidelines. Issued October 6, 2023. OIG Report No. INS-24-001

PARIS-VA Match Report
The annual PARIS-VA Match Report for fiscal year 2023.

Quarterly Report: Quarter 4, FY 2023
The OIG Quarterly Report for the fourth quarter of fiscal year 2023.

Consolidated SB 30 Report
The Consolidated Senate Bill 30 Annual Report for fiscal year 2023.

Managed Care Pharmacy Encounters Paid to Bemaj Pharmacy, Inc.: A Managed Care Network Provider Contracted Under Amerigroup Texas, Inc., Amerigroup Insurance Company, and Superior HealthPlan, Inc.
Executive Summary - The audit objective was to determine whether Bemaj Pharmacy, Inc. (a) properly billed for selected paid encounters associated with Texas Medicaid members enrolled with Amerigroup and Superior and (b) complied with applicable contractual, state, and federal requirements. Issued September 1, 2023. OIG Report No. AUD-24-001.

Ambulance Claims Oversight: Community First Health Plans
Executive Summary - The inspection objective was to determine whether Community First Health Plans has processes and controls to ensure non-medically necessary ambulance claims are denied in compliance with applicable requirements. Issued August 31, 2023. OIG Report No. INS-23-012.

Rolling Audit and Inspections Plan 2024
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.