July 2021

Audit

Data Processing and Integrity of Medicaid Eligibility Determinations: TIERS
The audit objective was to determine whether the Texas Integrated Eligibility Redesign System (TIERS) system and process controls were adequate to reasonably ensure that Medicaid eligibility determinations were accurate based on selected eligibility elements, including citizenship, residency, and identification of deceased individuals.

Audit

Acadian Ambulance Services
The audit objective was to determine whether Acadian billed selected managed care organizations for claims for ground emergency ambulance services in accordance with applicable statutes, rules and procedures. Issued July 28, 2021.

Audit

Women, Infants, and Children’s Nutrition Program (WIC): City of Laredo Health Department
The audit objective was to determine if the City of Laredo Health Department WIC program had financial processes in place to ensure compliance with applicable federal and state program rules, guidelines and contractual requirements for the Texas Health and Human Services WIC program. This audit did not result in recommendations to the City of Laredo Health Department. Issued July 23, 2021.

Audit

Santa Cruz Adult Day Care
The OIG Audit Division contracted Myers and Stauffer LC to audit adult day care claims to verify services provided to recipients, paid by Texas Medicaid. Issued July 14, 2021.

June 2021

Audit

Co-Treatment Therapy Billing: MindWorks Rehabilitation Center
OIG conducted this audit to ensure co-treatment services, which occur when two or more therapy disciplines are performed concurrently, were billed correctly. The audit found no instances of co-treatment and made no findings. Issued June 22, 2021.

May 2021

April 2021

February 2021

Audit

Final Audit Report: Junior’s Pharmacy
The OIG Audit Division contracted Myers and Stauffer, LC to audit pharmacy claims to verify services provided to recipients, paid by Texas Medicaid. Issued February 3, 2021.

January 2021