Metrocare 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 August 4, 2023. OIG Report No. AUD-23-016.

Summary of Results: Security Controls Over Confidential HHS Information
This report summarizes confidential audit results assessing the design and effectiveness of selected security controls over confidential HHS System information. Issued July 27, 2023. OIG Report No. AUD-23-012.

Follow-Up Assessment on Previously Issued Audit Recommendations: Financial Statistical Reports and Information Security at DentaQuest USA Insurance Company, Inc.
The objective of the follow-up assessment was to determine the implementation status of OIG Audit’s previously issued recommendations to HHS Medicaid and CHIP Services (MCS), which included testing the effectiveness of MCS and DentaQuest USA Insurance Company, Inc. management activities designed to remediate identified recommendations. Issued July 28, 2023. OIG Report No. AUD-23-013.

Fred and Mabel R. Parks Emergency Shelter Operated by Parks Youth Ranch
Executive Summary

The OIG conducted an audit to determine whether Parks Youth Ranch had processes and controls in place to ensure it provided foster care services at Parks Emergency Shelter in accordance with selected statutes, contract terms, and minimum standards. Issued July 18, 2023. OIG Report No. AUD-23-011

Follow-Up Assessment on Previously Issued Audit Recommendations: Security Controls Over Confidential HHS System Information at El Paso Health
The objective of the follow-up assessment was to determine the implementation status of OIG Audit’s previously issued recommendations to El Paso Health, which included testing the effectiveness of management activities designed to remediate identified recommendations. Issued July 14, 2023. OIG Report No. AUD-23-010.

Women’s Protective Services of Lubbock
Executive Summary

The OIG conducted an audit to determine whether Women’s Protective Services, and Family Violence Program contractor, (a) had financial processes and related controls to ensure compliance with selected rules and contract requirements, and (b) revised the budget for the selected grant to account for Paycheck Protection Program funding. Issued June 30, 2023. OIG Report No. AUD-23-009

Bridge Emergency Shelter Operated by Roy Maas Youth Alternatives
Executive Summary

The OIG conducted an audit to determine whether Roy Maas Youth Alternatives had processes and controls in place to ensure it provided foster care services at Bridge Emergency Shelter in accordance with selected statutes, contract terms, and minimum standards. Issued June 30, 2023. OIG Report No. AUD-23-008

Family Violence Prevention Services, Inc.: An HHSC Family Violence Program Contractor
The audit determined that Family Violence Prevention Services had financial processes and controls in place to help ensure grant expenditures were accurate, allowable, and supported. Issued June 15, 2003. OIG Report No. AUD-23-007.  

Sherry Matthews Group: A Texas Health and Human Services Commission Special Supplemental Nutrition Program for Women, Infants and Children (WIC) Contractor
Executive Summary

The audit objective was to determine whether Sherry Matthews Group delivered and billed for selected services in compliance with applicable contract requirements. Issued March 31, 2023. OIG Report No. AUD-23-006.

Managed Care Organization Oversight of Durable Medical Equipment Providers: Blue Cross and Blue Shield of Texas
Executive Summary

The audit objective was to determine whether Blue Cross and Blue Shield of Texas conducted oversight activities to ensure its durable medical equipment claims were reimbursed in accordance with selected applicable contractual requirements, federal and state laws, rules, guidelines, and policies. Issued March 23, 2023. OIG Report No. AUD-23-005.

Thompson Emergency Shelter, Operated by Boysville
Executive Summary

This audit was to determine whether Boysville had processes and controls in place to ensure it provided foster care services at Thompson Emergency Shelter in accordance with selected statutes, contract terms, and minimum standards. Issued February 28, 2023. OIG Report No. AUD-23-004.

Summary of Results: Audits of Medicaid and CHIP MCO Special Investigative Units
Executive Summary

This report summarizes audits published between 2018 and 2022 of special investigative unit activities at five managed care organizations: Aetna Better Health of Texas, Blue Cross and Blue Shield of Texas, Community First Health Plans, Driscoll Health Plan, and Molina Healthcare of Texas. Issued November 28, 2022. OIG Report No. AUD-23-003.       

Oversight of the HHSC Home and Community-Based Services (HCS) Program: HHS Regulatory Services Division and HHS Contract Administration and Provider Monitoring
Executive Summary

The audit objective was to determine whether the Texas Health and Human Services Commission (HHSC) Home and Community-Based Services (HCS) program’s (a) residential reviews aligned with certification requirements and enforcement remedies, (b) residential reviewers used the HHSC Waiver Survey and Certification Residential Checklist correctly and consistently, and (c) residential review results were maintained and analyzed. Issued November 22, 2022. OIG Report No. AUD-23-002.

Maximus, Inc., Member Communications: Texas Medicaid and CHIP Enrollment Broker
Executive Summary

The audit objective was to determine whether Maximus accurately, timely, and in accordance with applicable requirements (a) communicated enrollment-related information to members who were determined eligible for Medicaid and CHIP services and (b) received and processed enrollment-related information from those members in state fiscal year 2021. Issued September 2, 2022. OIG Report No. AUD-23-001.

Sunwest Behavioral Associates PA
The OIG Audit and Inspections Division contracted Weaver and Tidwell, L.L.P. to audit whether services billed and paid under the state Medicaid program were provided in accordance with applicable state and federal Medicaid laws, regulations, rules, policies, and contractual requirements. Issued August 31, 2022.