Reports

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 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 IG Quarterly Report for the fourth quarter of fiscal year 2022.

The Consolidated Senate Bill 30 Annual Report for fiscal year 2022.

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 annual PARIS-VA Match Report for fiscal year 2022.

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.

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.

Executive Summary

The audit objective was to determine whether Maximus accurately, timely, and in accordance with applicable requirements (a) communicated enrollment-related information to members who were determined eligible for Medicaid and CHIP services and (b) received and processed enrollment-related information from those members in state fiscal year 2021. Issued September 2, 2022. OIG Report No. AUD-23-001.

The OIG Audit and Inspections Division contracted Weaver and Tidwell, L.L.P. to audit whether services billed and paid under the state Medicaid program were provided in accordance with applicable state and federal Medicaid laws, regulations, rules, policies, and contractual requirements. Issued August 31, 2022.

The OIG Audit and Inspections Division contracted DK Partners to audit whether delivery of Durable Medical Equipment and submissions of Medicaid and CHIP managed care claims by One Source were in accordance with applicable Federal and State Medicaid laws, regulations, rules, policies, and contractual requirements.  Issued August 31, 2022.

The OIG Audit and Inspections Division contracted Weaver and Tidwell, L.L.P. to audit whether services billed and paid under the state Medicaid program were provided in accordance with applicable state and federal Medicaid laws, regulations, rules, policies, and contractual requirements. Issued August 31, 2022.

The OIG Audit and Inspections Division contracted DK Partners to audit whether delivery of Durable Medical Equipment and submissions of Medicaid and CHIP managed care claims by Aeroflow were in accordance with applicable Federal and State Medicaid laws, regulations, rules, policies, and contractual requirements.  Issued August 30, 2022.