15RX Pharmacy #3
The OIG Audit and Inspections Division contracted Myers and Stauffer LC to determine 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 August 4, 2023. OIG Report No. AUD-23-015.

Metrocare Pharmacy
The OIG Audit and Inspections Division contracted Myers and Stauffer LC to determine 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 August 4, 2023. OIG Report No. AUD-23-016.

R Medical Outreach and Associates, LLC
The OIG Audit and Inspections Division contracted Myers and Stauffer LC to determine whether fee-for-service durable medical equipment and medical supply claims billed to, and paid under, the state Medicaid program were in accordance with applicable state and federal Medicaid laws, regulations, rules, policies, and contractual requirements. Issued August 4, 2023. OIG Report No. AUD-23-014.

Follow-Up Assessment on Previously Issued Audit Recommendations: Security Controls Over Confidential HHS Information at Aetna Better Health of Texas
The objective of the follow-up assessment was to determine the implementation status of OIG Audit’s previously issued recommendation to Aetna Better Health of Texas, which included testing the effectiveness of management activities designed to remediate the identified recommendation. Issued August 4, 2023. OIG Report No. AUD-23-017.

Summary of Results: Security Controls Over Confidential HHS Information
This report summarizes confidential audit results assessing the design and effectiveness of selected security controls over confidential HHS System information. Issued July 27, 2023. OIG Report No. AUD-23-012.

Follow-Up Assessment on Previously Issued Audit Recommendations: Financial Statistical Reports and Information Security at DentaQuest USA Insurance Company, Inc.
The objective of the follow-up assessment was to determine the implementation status of OIG Audit’s previously issued recommendations to HHS Medicaid and CHIP Services (MCS), which included testing the effectiveness of MCS and DentaQuest USA Insurance Company, Inc. management activities designed to remediate identified recommendations. Issued July 28, 2023. OIG Report No. AUD-23-013.

Fred and Mabel R. Parks Emergency Shelter Operated by Parks Youth Ranch
Executive Summary

The OIG conducted an audit to determine whether Parks Youth Ranch had processes and controls in place to ensure it provided foster care services at Parks Emergency Shelter in accordance with selected statutes, contract terms, and minimum standards. Issued July 18, 2023. OIG Report No. AUD-23-011

Follow-Up Assessment on Previously Issued Audit Recommendations: Security Controls Over Confidential HHS System Information at El Paso Health
The objective of the follow-up assessment was to determine the implementation status of OIG Audit’s previously issued recommendations to El Paso Health, which included testing the effectiveness of management activities designed to remediate identified recommendations. Issued July 14, 2023. OIG Report No. AUD-23-010.

Women’s Protective Services of Lubbock
Executive Summary

The OIG conducted an audit to determine whether Women’s Protective Services, and Family Violence Program contractor, (a) had financial processes and related controls to ensure compliance with selected rules and contract requirements, and (b) revised the budget for the selected grant to account for Paycheck Protection Program funding. Issued June 30, 2023. OIG Report No. AUD-23-009

Bridge Emergency Shelter Operated by Roy Maas Youth Alternatives
Executive Summary

The OIG conducted an audit to determine whether Roy Maas Youth Alternatives had processes and controls in place to ensure it provided foster care services at Bridge Emergency Shelter in accordance with selected statutes, contract terms, and minimum standards. Issued June 30, 2023. OIG Report No. AUD-23-008

Quarterly Report: Quarter 3, FY 2023
The OIG Quarterly Report for the third quarter of fiscal year 2023.

Mental Health Private Psychiatric Bed Funds: PermiaCare
Executive Summary

The inspection was to determine whether PermiaCare used mental health private psychiatric bed funds in accordance with certain elements of the statement of work in its HHSC contract. Issued June 16, 2023. OIG Report No. INS-23-010

Category: Inspections

Family Violence Prevention Services, Inc.: An HHSC Family Violence Program Contractor
The audit determined that Family Violence Prevention Services had financial processes and controls in place to help ensure grant expenditures were accurate, allowable, and supported. Issued June 15, 2003. OIG Report No. AUD-23-007.  

Ambulance Claims Oversight: Molina Healthcare of Texas, Inc
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.

Sherry Matthews Group: A Texas Health and Human Services Commission Special Supplemental Nutrition Program for Women, Infants and Children (WIC) Contractor
Executive Summary

The audit objective was to determine whether Sherry Matthews Group delivered and billed for selected services in compliance with applicable contract requirements. Issued March 31, 2023. OIG Report No. AUD-23-006.