Reports

Executive Summary

The inspection objective was to determine whether Molina Healthcare has processes and controls to ensure ambulance claim payments comply with select requirements. Issued June 1, 2023. OIG Report No. INS-23-009.

Executive Summary

The inspection objective was to determine whether Paradigm at Woodwind Lakes followed select state and federal requirements for emergency preparedness. Issued October 12, 2022. OIG Report No. INS-23-008.

Executive Summary  

The inspection objective was to determine whether the direct care licensed nursing hours recorded at Liberty Health Care Center supported the hours submitted to the U.S. Centers for Medicare and Medicaid Services in compliance with federal requirements. Issued October 10, 2022. OIG Report No. INS-23-007.

Executive Summary

The inspection objective was to determine whether Arden Place of Houston followed select state and federal requirements for emergency preparedness. Issued October 10, 2022. OIG Report No. INS-23-006.

Executive Summary

The inspection objective was to determine whether Southeast Nursing & Rehabilitation Center followed select state and federal requirements for emergency preparedness. Issued October 10, 2022. OIG Report No. INS-23-005.

Executive Summary

The inspection objective was to determine whether Alamo Heights Health and Rehabilitation Center followed select state and federal requirements for emergency preparedness. Issued October 4, 2022. OIG Report No. INS-23-004.

Executive Summary

The inspection objective was to determine whether Focused Care at Westwood followed select state and federal requirements for emergency preparedness. Issued October 4, 2022. OIG Report No. INS-23-003.

The inspection objective was to determine whether Villa Toscana at Cypress Woods followed select state and federal requirements for emergency preparedness. The inspection did not result in any recommendations to Villa Toscana at Cypress Woods. Issued September 28, 2022. OIG Report No. INS-23-002.

The inspection objective was to determine whether Oak Park Nursing & Rehabilitation Center followed select state and federal requirements for emergency preparedness. The inspection did not result in any recommendations to Oak Park Nursing & Rehabilitation Center. Issued September 28, 2022. OIG Report No. INS-23-001.

Executive Summary

The inspection objective was to determine whether Mystic Park Nursing and Rehabilitation Center followed select state and federal requirements for emergency preparedness. Issued August 25, 2022. OIG Report No. INS-22-010.

Executive Summary

The inspection objective was to determine whether TMHP has controls to ensure payments made to laboratories are only for services covered under the laboratory's CLIA certification level. Issued August 19, 2022. OIG Report No. INS-22-009.

Executive Summary

The inspection objective was to determine whether the direct care licensed nursing hours recorded at Mira Vista Court supported the hours submitted to the U.S. Centers for Medicare and Medicaid Services in compliance with federal requirements. Issued August 16, 2022. OIG Report No. INS-22-008.

Executive Summary

The inspection objective was to determine whether the direct care licensed nursing hours recorded at Westchase Health and Rehabilitation Center supported the hours submitted to the U.S. Centers for Medicare and Medicaid Services in compliance with federal requirements. Issued August 9, 2022. OIG Report No. INS-22-006.

Executive Summary

The inspection objective was to determine whether the direct care licensed nursing hours recorded at Winchester Lodge Healthcare Center supported the hours submitted to the U.S. Centers for Medicare and Medicaid Services in compliance with federal requirements. Issued August 9, 2022. OIG Report No. INS-22-007.

Executive Summary

This inspection examined the processes Cook Children’s Health Plan, El Paso Health, and Superior HealthPlan have for ensuring laboratory service providers have the appropriate CLIA certification prior to paying submitted claims. Issued July 12, 2022. OIG Report No. INS-22-005.