Reports

Follow-Up Assessment on Previously Issued Inspections Recommendations: Nursing Facility Staffing Hours Verification—Liberty Health Care Center
OIG conducted this follow-up assessment of the previously issued inspection report titled “Nursing Facility Staffing Hours Verification: Liberty Health Care Center” to determine whether the recommendation previously issued by OIG Inspections was implemented. Issued April 5, 2024. No. INS-24-007
 

Quarterly Report: Quarter 2, FY 2024
The OIG published its second quarterly report for fiscal year 2024, summarizing the agency’s work and results achieved between December 1, 2023, and February 29, 2024.

RGV Kidz Place: A Prescribed Pediatric Extended Care Center in Edinburg, Texas
Executive Summary The audit objective was to determine whether RGV Kidz Place provided services in accordance with selected rules, statutes, and requirements. Issued March 14, 2024. OIG Report No. AUD-24-006.

Follow-Up Assessment on Previously Issued Audit Recommendations: Co-Treatment Therapy Billing at Rebound Sports and Physical Therapy
The objective of the follow-up assessment was to determine the implementation status of OIG Audit’s previously issued recommendation to Rebound Sports and Physical Therapy, which included testing the effectiveness of management activities designed to remediate the identified recommendation. Issued February 29, 2024. OIG Report No. AUD-24-004.

Electroencephalogram (EEG) Services in Texas Medicaid: Memorial Hermann Health System
Executive Summary The audit objective was to determine whether claims submitted by Memorial Hermann Health System for ambulatory electroencephalogram (EEG) tests were in compliance with selected Texas Medicaid Provider Procedures Manual regulations. Issued February 29, 2024. OIG Report No. AUD-24-005.

Electroencephalogram (EEG) Services in Texas Medicaid: Cook Children’s Medical Center
This audit was to determine whether claims submitted by Cook Children’s Medical Center for ambulatory EEG tests were in compliance with selected regulations. Issued February 14, 2024. No. AUD-24-003

Mental Health Private Psychiatric Bed Funds: Tropical Texas Behavioral Health
Executive Summary The inspection objective was to determine whether Tropical used mental health private psychiatric bed funds in accordance with certain elements of the statement of work in its HHSC contract. Issued February 15, 2024. No. INS-24-006

Follow-Up Assessment on Previously Issued Inspections Recommendation: Nursing Facility Staffing Hours Verification-Mira Vista Court
OIG conducted this follow-up assessment of the previously issued inspection report titled “Nursing Facility Staffing Hours Verification: Mira Vista Court” to determine whether the recommendation previously issued by OIG Inspections was implemented. Issued January 12, 2024. No. INS-24-005

Ambulance Claims Oversight: Non-Medically Necessary Claims
The Inspections Division conducted a data review to determine whether non-medically necessary ambulance claims were denied in compliance with applicable requirements. Issued January 9, 2024. No. INS-24-004.

About OIG Audit reports
Final audit reports are posted to the OIG website when issued. These reports are subject to appeal upon timely, written, proper requests for appeal, as provided for in rule. These final audit reports are public records and remain posted on the website during and after an appeal.

Joint Annual Interagency Coordination Report
The Joint Annual Interagency Coordination Report summarizes the collaborative activities of the HHS Office of Inspector General and Office of Attorney General Civil Medicaid Fraud Division and Medicaid Fraud Control Unit in the detection and prevention of fraud, waste and abuse in Texas Medicaid

Quarterly Report: Quarter 1, FY 2024
The OIG published its first quarterly report for fiscal year 2024, summarizing the agency’s work and results achieved between September 1 and November 30, 2023.

Baylor Scott & White Health: A Texas Medicaid Provider
Executive Summary The audit objective was to determine whether (a) teleservices provided by Baylor Scott & White Health were billed accurately and in accordance with applicable requirements and (b) related internal controls over teleservices were designed and operating effectively. Issued November 29, 2023. OIG Report No. AUD-24-002.

Annual Report on Certain Fraud and Abuse Recoveries by Managed Care Organizations
Required by Texas Government Code, Section 531.1132, the Annual Report on Certain Fraud and Abuse Recoveries by Managed Care Organizations details recoveries during the preceding fiscal year resulting from investigations by managed care organization special investigative units.

Managed Care Claims Submitted by Respiratory & Medical Homecare Unlimited
The inspection objective was to determine whether Respiratory & Medical Homecare Unlimited supported its wound care supply claims according to guidelines. Issued October 31, 2023. OIG Report No. INS-24-003