Home and Community Support Services Agencies Oversight of Attendants: Elara Caring
Executive Summary
The audit objective was to evaluate whether Elara Caring (a) developed and performed individualized service plans, (b) performed visit maintenance for selected EVV transactions in accordance with selected regulations, and (c) performed selected oversight activities. Issued August 12, 2022. OIG Report No. AUD-22-019
August 2022
The Sexually Transmitted Disease/Human Immunodeficiency Virus (STD/HIV) Prevention Services Grant Program: City of Houston Health Department
Executive Summary
The audit objective was to determine whether the City of Houston Health Department had processes and controls in place to ensure it administered the STD/HIV Prevention Services Grant Program in accordance with selected grant agreement requirements for performance, data management, reporting, and grant expenditures. Issued August 11, 2022. OIG Report No. AUD-22-018.
Healthy City Pharmacy
The OIG Audit and Inspections Division contracted Myers and Stauffer LC to audit 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 25, 2022.
The Sexually Transmitted Disease/Human Immunodeficiency Virus (STD/HIV) Prevention Services Grant Program: Dallas County Health and Human Services
Executive Summary
The audit objective was to determine whether Dallas County Health and Human Services had processes and controls in place to ensure it administered the STD/HIV Prevention Services Grant Program in accordance with selected grant agreement requirements for performance, data management, reporting, and grant expenditures. Issued August 2, 2022. OIG Report No. AUD-22-017.
July 2022
Security Controls Over Confidential HHS Information: Community Health Choice
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 22, 2022. OIG Report No. AUD-22-015.
Selected Memory Care Facilities: Matagorda House Healthcare Center
Executive Summary
OIG evaluated whether Matagorda House, advertising as a memory care facility, provided services delivered and operated in compliance with applicable laws, rules, and guidelines. Issued July 22, 2022. OIG Report No. AUD-22-016.
The Sexually Transmitted Disease/Human Immunodeficiency Virus (STD/HIV) Prevention Services Grant Program: San Antonio Metropolitan Health District
Executive Summary
The audit objective was to determine whether the San Antonio Metropolitan Health District had processes and controls in place to ensure it administered the STD/HIV Prevention Services Grant Program in accordance with selected grant agreement requirements for performance, data management, reporting, and grant expenditures. Issued July 15, 2022. OIG Report No. AUD-22-014.
June 2022
Selected Memory Care Facilities: Silverado Barton Springs Memory Care Community
Executive Summary
OIG evaluated whether Silverado Barton Springs, advertising as a memory care facility, provided services delivered and operated in compliance with applicable laws, rules, and guidelines. Issued June 3, 2022. OIG Report No. AUD-22-013.
May 2022
Deaf Blind with Multiple Disabilities Program: Lighthouse for the Blind of Houston
Executive Summary
OIG evaluated whether Lighthouse operated and provided residential DBMD services at its assisted living facilities in compliance with applicable contractual requirements, laws, rules, and guidelines. Issued May 19, 2022. OIG Report No. AUD-22-012.
Selected Memory Care Facilities: Le Rêve Rehabilitation and Memory Care
Executive Summary
OIG evaluated whether Le Rêve, advertising as a memory care facility, provided services delivered and operated in compliance with applicable laws, rules, and guidelines. Issued May 10, 2022. OIG Report No. AUD-22-011.
April 2022
Medcare Clinics PLLC: A Texas Medicaid and CHIP Provider
Executive Summary
The audit objective was to determine whether telemedicine services provided by Medcare Clinics PLLC during the COVID-19 waiver period (a) were billed accurately and (b) followed applicable requirements. Issued April 29, 2022. OIG Report No. AUD-22-010.
Deaf Blind with Multiple Disabilities Program: Mission Road Developmental Center
Executive Summary
OIG evaluated whether Mission Road operated and provided residential DBMD services at its assisted living facilities in compliance with applicable contractual requirements, laws, rules, and guidelines. Issued April 28, 2022. OIG Report No. AUD-22-009.
Community First Health Plan Special Investigative Unit: A Texas Medicaid Managed Care Provider
Executive Summary
OIG evaluated whether Community First complied with selected state and contractual requirements related to (a) preventing, detecting, and investigating fraud, waste, and abuse and (b) reporting reliable information on SIU activities, results, and recoveries to the Texas Health and Human Services Commission (HHSC). Issued April 28, 2022. OIG Report No. AUD-22-008.
The Center for Comprehensive Mental Health: A Texas Medicaid Provider
Executive Summary
The audit objective was to determine whether telemedicine services provided by the Center for Comprehensive Mental Health during the COVID-19 waiver period (a) were billed accurately and (b) followed applicable requirements. Issued April 19, 2022. OIG Report No. AUD-22-007.
February 2022
Selected Memory Care Facilities: Village Green Alzheimer’s Care Home -- Cypress
Executive Summary
OIG evaluated whether Village Green -- Cypress, which advertises as a memory care facility, provided services delivered and operated in compliance with applicable laws, rules, and guidelines. Audit issued February 28, 2022. OIG Report No. AUD-22-006.