Easter Seals Rio Grande Valley: A Texas DFPS Contractor
The audit was to determine whether controls over contract funds were in place and data was reported to DFPS in accordance with contract terms. No issues were noted. Issued February 26, 2020.
February 2020
Audit of City Drug Company: A Texas Vendor Drug Program Provider
The audit evaluated City Drug Company 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 20, 2020.
January 2020
Audit of DentaQuest USA Insurance Company: A Texas Medicaid and CHIP Dental Maintenance Organization
The audit objective was to evaluate the DentaQuest’s effectiveness in complying with selected contract requirements, achieving related contract outcomes, and reporting financial and performance results to HHSC. Issued January 9, 2020.
December 2019
Security Controls Over Confidential HHS System Information: Children’s Medical Center Health Plan
The audit assessed the design and effectiveness of selected security controls over confidential HHS System information stored and processed by Children’s Medical Center Health Plan. Issued December 20, 2019.
Summary of Results: Audits of Texas Medicaid Medical Transportation Organizations
This audit report summarizes non-emergency medical transportation services in Texas Medicaid managed transportation organizations, based on the results of four audits performed by the OIG Audit Division. Issued December 3, 2019.
August 2019
Audit of Management of the STAR Kids and STAR Health Programs Through Monitoring Contract Activities: HHSC Medicaid and CHIP Services
The audit determined whether Medicaid and CHIP Services, through monitoring selected contract deliverables, effectively managed the STAR Kids and STAR Health programs for the Medically Dependent Children Program (MDCP). Issued August 30, 2019.
Audit of Selected Services to STAR Health Members in the Medically Dependent Children Program: Superior HealthPlan
The audit determined whether services were authorized and provided to STAR Kids members in MDCP who received private duty nursing, and service coordination activities, assessments, and service plans supported the services for MDCP members who received private duty nursing. Issued August 30, 2019.
Audit of Selected Services to STAR Kids Members in the Medically Dependent Children Program: Cook Children’s Health Plan
The audit determined whether services were authorized and provided to STAR Kids members in MDCP who received private duty nursing, and service coordination activities, assessments, and service plans supported the services for MDCP members who received private duty nursing. Issued August 30, 2019.
Audit of MCNA Insurance Company: A Texas Medicaid and CHIP Dental Maintenance Organization
The audit objective was to evaluate the MCNA’s effectiveness in complying with selected contract requirements, achieving related contract outcomes, and reporting financial and performance results to HHSC. Issued August 30, 2019.
United Way of Metropolitan Dallas: A DFPS Contractor
The audit was to determine whether contract funds were used as intended and the contractor billed and performed as required. No issues were noted. Issued August 28, 2019.
Audit of STAR+PLUS Service Coordination: Cigna HealthSpring
This audit evaluated whether Cigna complied with contractual requirements for performing service coordination in support of STAR+PLUS Level 1 members. Issued August 22, 2019.
LogistiCare: A Texas Medicaid Medical Transportation Organization
The audit was conducted to determine whether LogistiCare’s performance in selected areas was in accordance with contract requirements. Issued August 22, 2019.
Audit of Medicine Man: A Texas Vendor Drug Program Provider
The audit evaluated Medicine Man 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 August 22, 2019.
July 2019
Audit of Security Controls Over Confidential HHS System Information and Business Continuity and Disaster Recovery Plans: Texas Children’s Health Plan
The audit was conducted to determine whether confidential HHS System information in the custody of Texas Children’s Health Plan and its subcontractors was protected from unauthorized access, loss, or disclosure. Issued July 31, 2019.
Project Amistad: A Texas Medicaid Medical Transportation Organization
The audit was conducted to determine whether Amistad’s performance in selected areas was in accordance with contract requirements. Issued July 23, 2019.