Reports

Audit of Houston Medicine Chest, LLC: A Texas Vendor Drug Program Provider
The audit evaluated Houston Medicine Chest, LLC 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 3, 2017.

Pediatric Dental Sedation
This report details the inspection of Texas Medicaid providers to determine if dental sedation procedures performed on Medicaid pediatric patients are medically necessary and meet the standard of care. Issued July 14, 2017.

Quarterly Report: Quarter 3, FY 2017
The OIG Quarterly Report for the third quarter of fiscal year 2017.

Dental Service Organizations: Informational Report
The IG Audit Division has completed this informational report, Dental Service Organizations, to gain an understanding of DSOs and how they support the delivery of dental services provided to Medicaid and CHIP-eligible individuals. Issued May 31, 2017. Revised November 14, 2017.

Opioid Drug Utilization
This report details the inspection of Texas Medicaid efforts to reduce prescription opioid abuse and overutilization. Issued May 30, 2017.

Audit of Acute Care Utilization Management in Managed Care Organizations: Amerigroup Texas, Inc. and Amerigroup Texas Insurance Company
The IG Audit Division has completed Audit of Acute Care Utilization Management in Managed Care Organizations: Amerigroup Texas, Inc. and Amerigroup Texas Insurance Company.  This report is one in a series of reports related to the audit of Medicaid and CHIP MCO utilization management functions. Issued May 30, 2017.

Audit of the University of Texas Medical Branch at Galveston Cost Report: Fiscal Year 2014
The IG Audit Division has completed Audit of the University of Texas Medical Branch at Galveston Cost Report: Fiscal Year 2014. This report contains the results of an audit to determine whether selected cost centers reported on the Medicare cost report were accurate, allowable, and adequately supported according to Centers for Medicare and Medicaid (CMS) and state requirements. Issued May 30, 2017.

Quarterly Report: Quarter 2, FY 2017
The OIG Quarterly Report for the second quarter of fiscal year 2017.

Texas Medicaid Speech Therapy: Informational Report on Payment Trends and Service Delivery
This informational report, Texas Medicaid Speech Therapy: Informational Report on Payment Trends and Service Delivery, is the first in a series of reports related to the audit of Texas Medicaid speech therapy providers. IG Audit Division Report IG-17-010 issued February 28, 2017.

Deep East Texas Council of Governments: While HHS Contract Funds Were Used as Intended, Financial and IT Controls Should be Improved
The IG Audit Division has completed the report Deep East Texas Council of Governments: While HHS Contract Funds Were Used as Intended, Financial and IT Controls Should be Improved. This report contains the results of an audit of state funds paid to DETCOG through three contracts with Health and Human Services agencies worth $1.5 million. IG Audit Division Report IG-16-017 issued February 28, 2017.

Audit of Recovery of Overpayments Identified in Federal Audits
The IG Audit Division has completed Audit of Recovery of Overpayments Identified in Federal Audits. This report contains the results of an audit of the effectiveness of HHSC policy and processes related to the recovery of overpayments identified during federal audits. IG Audit Division Report IG-16-110 issued February 28, 2017.

Audit of DADS Claims Management System: Information Technology Interface Processing Controls
The IG Audit Division has completed the Audit of DADS Claims Management System: Information Technology Interface Processing Controls. This report contains the results of an audit of (DADS) Claims Management System, which was developed to adjudicate Medicaid fee-for-service claims for the aging and disabled Medicaid recipients of Texas served by DADS long-term care program areas. IG Audit Division Report IG-16-120 issued February 28, 2017.

Audit of Acute Care Utilization Management in Managed Care Organizations: Community Health Choice, Inc.
The IG Audit Division has completed Audit of Acute Care Utilization Management in Managed Care Organizations: Community Health Choice, Inc. This report is one in a series of reports related to the audit of Medicaid and CHIP MCO utilization management functions. IG Audit Division Report IG-16-063 issued February 28, 2017.

Medicaid and CHIP MCO Special Investigative Units: Initiatives Underway to Improve Collaboration and Performance
The IG Audit Division has completed the informational report Medicaid and CHIP MCO Special Investigative Units: Initiatives Underway to Improve Collaboration and Performance. This report summarizes special investigative units (SIU) program effectiveness based on the results of seven audits performed by the IG Audit Division, and additional information provided by managed care organizations (MCOs) in response to an IG survey. IG Audit Division Report IG-16-018 issued February 28, 2017.

Audit of Selected Noncompetitive Contractor Procurements Over $10 Million: Early Childhood Intervention Program Contract Between Texas Department of Assistive and Rehabilitative Services and Easter Seals Rehabilitation Center
The IG Audit Division has completed Audit of Selected Noncompetitive Contractor Procurements Over $10 Million: Early Childhood Intervention Program Contract Between Texas Department of Assistive and Rehabilitative Services and Easter Seals Rehabilitation Center. This report is one of a series of reports related to the audit of contractors selected as noncompetitive procurements over $10 million. IG Audit Division Report IG-16-072 issued February 21, 2017.