Reports

September 2017

Issue Briefs

Issue Brief: Recovery of Funds
This issue brief provides an overview of new state and federal guidelines for Medicaid managed care organizations about the recovery of improper payments and how other states distribute recovered Medicaid funds.

August 2017

Audit

Audit of US Bioservices Corporation: A Texas Vendor Drug Program Provider
The audit evaluated US Bioservices 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.  Results indicated no exceptions for the claims tested.  Issued August 29, 2017.

July 2017

Inspections

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.

June 2017

May 2017

Audit

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.

Inspections

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

Audit

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.