Reports

August 2021

July 2021

  • The audit assessed the design and effectiveness of selected security controls over confidential HHS System information stored and processed by Scott and White Health Plan. Issued July 30, 2021.

    Category: Audit
  • The audit objective was to determine whether (a) expenses reimbursed were allowable and (b) expenses were allocated as required under the terms of its Healthy Texas Women program and Family Planning Program contracts, which ended in December 2018. Issued July 30, 2021.

    Category: Audit
  • 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.

    Category: Audit
  • The audit objective was to evaluate the effectiveness of processes and controls designed to prevent fee-for-service claims from being paid for services covered by MCOs. Issued July 30, 2021.

    Category: Audit
  • 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.

    Category: Audit
  • 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.

    Category: Audit
  • 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.

    Category: Audit

June 2021

  • 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.

    Category: Audit