OIG Review of MCO Cost Avoidance and OIG Efforts in Medicaid Managed Care
This report was submitted to the Legislative Budget Board and the Governor in compliance with the 2022-23 General Appropriations Act, Senate Bill 1, 87th Legislature, Regular Session, 2021 (Article II, Health and Human Services Commission, Rider 104). Issued February 25th, 2022.

Joint OIG-MFCU Report
The Joint Annual Report on Fraud and Abuse in Medicaid, compiled by OIG and the Attorney General's Medicaid Fraud Control Unit, for fiscal year 2021.

MCO Fraud Recoveries Report
The Annual Report on Certain Fraud and Abuse recoveries for fiscal year 2021.

State Hospital Investigations Report FY 2021
The Annual Report of State Hospital Investigations for fiscal year 2021.

SSLC Investigations Report FY 2021
The Annual Report of State Supported Living Center Investigations for fiscal year 2021

Hospital Utilization Review Stakeholders Meeting Amended

PARIS-VA Match Report
The annual PARIS-VA Match Report for fiscal year 2021.

Rolling Audit and Inspections Plan
The OIG has updated its Rolling Audit and Inspections Plan, which outlines potential audit and inspections areas and topics.

The OIG Audit and Inspections Division conducts a continuous risk assessment to identify potential topics for inclusion in its Rolling Audit and Inspections Plan. Potential audit and inspections topics consist of programs, services, providers and contractors with an elevated potential for fraud, waste and abuse.

Consolidated SB 30 Report
The Consolidated Senate Bill 30 Annual Report for fiscal year 2021.

NFUR Sept 13 meeting presentation

Value-Based Purchasing Program Integrity Considerations
Value-based purchasing (VBP) models are utilized in government health insurance programs to shift payments from volume to value. This informational report explores how VBP has evolved nationally, Texas’ implementation and a discussion of potential program integrity challenges and considerations related to the OIG’s future work in this space. Issued December 21, 2020. Summary version.

Joint OIG-MFCU Report
The Joint Annual Report on Fraud and Abuse in Medicaid, compiled by OIG and the Attorney General's Medicaid Fraud Control Unit, for fiscal year 2020.

MCO Fraud Recoveries Report
The Annual Report on Certain Fraud and Abuse recoveries for fiscal year 2020.

SSLC Investigations Report
The Annual Report of State Supported Living Center Investigations for fiscal year 2020.

State Hospital Investigations Report
The Annual Report of State Hospital Investigations for fiscal year 2020.