Pharmacy Alternatives, LLC
The OIG Audit and Inspections Division contracted Myers and Stauffer LC to determine whether pharmacy claims billed and paid under the state Medicaid program were in accordance with applicable state and federal Medicaid laws, regulations, rules, policies, and contractual requirements. Issued July 31, 2024. OIG Report No. AUD-24-017.
July 2024
Cook Children’s Health Plan’s Financial Statistical Reports
Executive Summary - The audit objective was to determine whether Cook Children’s Health Plan (a) reported expenses on its FSRs in accordance with contract requirements and (b) designed and implemented effective internal controls over the preparation of its FSRs. Issued July 23, 2024. OIG Report No. AUD-24-016.
Security Controls Over Confidential HHS Information: Dell Children’s Health Plan
The audit objective was to determine whether Dell Children’s Health Plan had select information security controls that effectively protected confidential Texas Health and Human Services (HHS) System information. Issued July 19, 2024. OIG Report No. AUD-24-015.
Regulation of Texas Child Day Care Centers and Homes
Executive Summary - The OIG conducted this audit to determine whether HHS processed permit renewals and reviewed child day care operations in accordance with selected rules, statutes, and requirements. Issued July 17, 2024. OIG Report No. AUD-24-014.
Crystal City Pharmacy, LLC
The OIG Audit and Inspections Division contracted Myers and Stauffer LC to determine whether pharmacy claims billed and paid under the state Medicaid program were in accordance with applicable state and federal Medicaid laws, regulations, rules, policies, and contractual requirements. Issued July 16, 2024. OIG Report No. AUD-24-012.
Mountain View Health and Rehabilitation: Long-Term Care Facility Resident Discharges
Executive Summary - The OIG conducted this audit to determine whether Mountain View Health and Rehabilitation complied with applicable requirements when initiating discharges. Issued July 16, 2024. OIG Report No. AUD-24-013.
Amazon Pharmacy #001
The OIG Audit and Inspections Division contracted Myers and Stauffer LC to determine whether pharmacy claims billed and paid under the state Medicaid program were in accordance with applicable state and federal Medicaid laws, regulations, rules, policies, and contractual requirements. Issued July 12, 2024. OIG Report No. AUD-24-011.
June 2024
Ortiz Pharmacy
The OIG Audit and Inspections Division contracted Myers and Stauffer LC to determine whether pharmacy claims billed and paid under the state Medicaid program were in accordance with applicable state and federal Medicaid laws, regulations, rules, policies, and contractual requirements. Issued June 14, 2024. OIG Report No. AUD-24-010.
Follow-Up Assessment on Previously Issued Audit Recommendations: Homeward Bound, Inc.—A Substance Use Disorder Treatment Provider
The objective of the follow-up assessment was to determine the implementation status of OIG Audit’s previously issued recommendations to Homeward Bound, Inc., which included testing the effectiveness of management activities designed to remediate the identified recommendations. Issued June 5, 2024. OIG Report No. AUD-24-009.
May 2024
Follow-Up Assessment on Previously Issued Audit Recommendations: Security Controls Over Confidential HHS Information at Scott and White Health Plan
The objective of the follow-up assessment was to determine the implementation status of OIG Audit’s previously issued recommendations to Scott and White Health Plan, which included testing the effectiveness of management activities designed to remediate the identified recommendations. Issued May 13, 2024. OIG Report No. AUD-24-007.
Follow-Up Assessment on Previously Issued Audit Recommendations: Fee-for-Service Claims Submitted by Maverick Medical Supply
The objective of the follow-up assessment was to determine the implementation status of OIG Audit’s previously issued recommendations to Maverick Medical Supply, which included testing the effectiveness of management activities designed to remediate the identified recommendations. Issued May 13, 2024. OIG Report No. AUD-24-008.
March 2024
RGV Kidz Place: A Prescribed Pediatric Extended Care Center in Edinburg, Texas
Executive Summary - The audit objective was to determine whether RGV Kidz Place provided services in accordance with selected rules, statutes, and requirements. Issued March 14, 2024. OIG Report No. AUD-24-006.
February 2024
Follow-Up Assessment on Previously Issued Audit Recommendations: Co-Treatment Therapy Billing at Rebound Sports and Physical Therapy
The objective of the follow-up assessment was to determine the implementation status of OIG Audit’s previously issued recommendation to Rebound Sports and Physical Therapy, which included testing the effectiveness of management activities designed to remediate the identified recommendation. Issued February 29, 2024. OIG Report No. AUD-24-004.
Electroencephalogram (EEG) Services in Texas Medicaid: Memorial Hermann Health System
Executive Summary - The audit objective was to determine whether claims submitted by Memorial Hermann Health System for ambulatory electroencephalogram (EEG) tests were in compliance with selected Texas Medicaid Provider Procedures Manual regulations. Issued February 29, 2024. OIG Report No. AUD-24-005.
Electroencephalogram (EEG) Services in Texas Medicaid: Cook Children’s Medical Center
This audit was to determine whether claims submitted by Cook Children’s Medical Center for ambulatory EEG tests were in compliance with selected regulations. Issued February 14, 2024. No. AUD-24-003