Audit of Pharmacy Inventory Controls: Richard's Pharmacy
The OIG Audit Division performed an inventory of selected drugs to determine whether Richard's Pharmacy correctly billed Medicaid, complied with requirements, and maintained sound controls over its related IT systems for the audit period. Issued June 27, 2018.
June 2018
Audit of Jordan Health Services: A Home Health Provider
The OIG Audit Division contracted Health Management Systems to audit personal care assistance records to verify services provided to recipients, paid by Texas Medicaid. Issued June 13, 2018.
Audit of Epic Pediatric Therapy (Austin) : A Texas Medicaid Speech Therapy Provider
The OIG Audit Division contracted Health Management Systems to audit speech therapy records to verify services provided to recipients, paid by Texas Medicaid. Issued June 12, 2018.
Audit of Epic Pediatric Therapy (Dallas) : A Texas Medicaid Speech Therapy Provider
The OIG Audit Division contracted Health Management Systems to audit speech therapy records to verify services provided to recipients, paid by Texas Medicaid. Issued June 12, 2018.
Audit of Therapy 2000: A Texas Medicaid Speech Therapy Provider
The OIG Audit Division contracted Health Management Systems to audit speech therapy records to verify services provided to recipients, paid by Texas Medicaid. Issued June 12, 2018.
May 2018
Audit of Specialty Therapeutic Care: A Texas Vendor Drug Program Provider
The audit evaluated Specialty Therapeutic Care to determine whether it properly billed VDP and complied with contractual and state requirements, and evaluated IT general controls to determine whether data used for audit testing was reliable. Issued May 31, 2018.
Audit of St. Louis Medical Supply: A Durable Medical Equipment Provider
The OIG Audit Division contracted Health Management Systems to audit durable medical equipment records to verify services provided to recipients, paid by Texas Medicaid. Issued May 25, 2018.
Audit of Circle of Care: A Texas Medicaid Speech Therapy Provider
The OIG Audit Division contracted Health Management Systems to audit speech therapy records to verify services provided to recipients paid by Texas Medicaid. Issued May 25, 2018.
Audit of Tropical Texas Behavioral Health: A Texas Behavioral Health Services Provider
The OIG Audit Division contracted Health Management Systems to audit behavioral health records to verify services provided to recipients, paid by Texas Medicaid. Issued May 25, 2018.
Assessment and Evaluation Practices at Mission Nursing and Rehabilitation Center
The audit evaluated Minimum Data Set (MDS) assessments, therapy services charts, medical records, Resource Utilization Group (RUG) levels assigned to residents, and physician orders and certifications for therapy services. Issued May 11, 2018.
April 2018
Audit of Cook Children’s Home Health: A Texas Vendor Drug Program Provider
The audit evaluated Cook Children’s Home Health to determine whether it properly billed VDP and complied with contractual and state requirements, and evaluated IT general controls to determine whether data used for audit testing was reliable. Results indicated no exceptions for the claims tested. Issued April 30, 2018.
Audit of R Medical Outreach and Associates: A Durable Medical Equipment Provider
The audit evaluated whether fee-for-service claims for incontinence supplies paid with Medicaid funds were billed in accordance with state laws, regulations, and program requirements. Issued April 27, 2018.
Audit of Medicaid and CHIP MCO SIUs: Driscoll Health Plan
The audit evaluated Driscoll’s policies and practices associated with preventing, detecting, investigating, and reporting fraud, waste, and abuse. Issued April 3, 2018.
February 2018
Security Controls Over Confidential HHS System Information: MAXIMUS Enrollment Broker
The audit evaluated the design and effectiveness of selected security controls over confidential HHS System information stored and processed by MAXIMUS. Issued February 23, 2018.
Audit of Southside Pharmacy: A Texas Vendor Drug Program Provider
The audit evaluated Southside Pharmacy to determine whether it properly billed VDP and complied with contractual and state requirements, and evaluated IT general controls to determine whether data used for audit testing was reliable. Issued February 9, 2018; revised February 28, 2018.