Reports

August 2023

Audit

Follow-Up Assessment on Previously Issued Audit Recommendations: Security Controls Over Confidential HHS Information at Parkland Community Health Plan, Inc.
The objective of the follow-up assessment was to determine the implementation status of OIG Audit’s previously issued recommendation to Parkland Community Health Plan, Inc., which included testing the effectiveness of management activities designed to remediate the identified recommendation. Issued August 7, 2023. OIG Report No. AUD-23-019.

Audit

Lifeline Valley Care
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 8, 2023. OIG Report No. AUD-23-021.

Audit

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.

Audit

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.

Audit

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.

July 2023

Audit

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.

June 2023

Audit

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