Reports

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

Quarterly Report: Quarter 3, FY 2023
The OIG Quarterly Report for the third quarter of fiscal year 2023.

Mental Health Private Psychiatric Bed Funds: PermiaCare
Executive Summary - The inspection was to determine whether PermiaCare used mental health private psychiatric bed funds in accordance with certain elements of the statement of work in its HHSC contract. Issued June 16, 2023. OIG Report No. INS-23-010

Family Violence Prevention Services, Inc.: An HHSC Family Violence Program Contractor
The audit determined that Family Violence Prevention Services had financial processes and controls in place to help ensure grant expenditures were accurate, allowable, and supported. Issued June 15, 2003. OIG Report No. AUD-23-007.  

Ambulance Claims Oversight: Molina Healthcare of Texas, Inc
Executive Summary - The inspection objective was to determine whether Molina Healthcare has processes and controls to ensure ambulance claim payments comply with select requirements. Issued June 1, 2023. OIG Report No. INS-23-009.

Sherry Matthews Group: A Texas Health and Human Services Commission Special Supplemental Nutrition Program for Women, Infants and Children (WIC) Contractor
Executive Summary - The audit objective was to determine whether Sherry Matthews Group delivered and billed for selected services in compliance with applicable contract requirements. Issued March 31, 2023. OIG Report No. AUD-23-006.

Quarterly Report: Quarter 2, FY 2023
The OIG Quarterly Report for the second quarter of fiscal year 2023.

Managed Care Organization Oversight of Durable Medical Equipment Providers: Blue Cross and Blue Shield of Texas
Executive Summary - The audit objective was to determine whether Blue Cross and Blue Shield of Texas conducted oversight activities to ensure its durable medical equipment claims were reimbursed in accordance with selected applicable contractual requirements, federal and state laws, rules, guidelines, and policies. Issued March 23, 2023. OIG Report No. AUD-23-005.

Thompson Emergency Shelter, Operated by Boysville
Executive Summary - This audit was to determine whether Boysville had processes and controls in place to ensure it provided foster care services at Thompson Emergency Shelter in accordance with selected statutes, contract terms, and minimum standards. Issued February 28, 2023. OIG Report No. AUD-23-004.

Quarterly Report: Quarter 1, FY 2023
The OIG Quarterly Report for the first quarter of fiscal year 2023.

Joint OIG-MFCU Report Fiscal Year 2022
The Joint Annual Report on Fraud and Abuse in Medicaid, compiled by OIG and the Attorney General's Medicaid Fraud Control Unit, for fiscal year 2022.

State Supported Living Center Investigations Report FY 2022
The Annual Report of State Supported Living Center Investigations for fiscal year 2022

State Hospital Investigations Report FY 2022
The Annual Report of State Hospital Investigations for fiscal year 2022.

Summary of Results: Audits of Medicaid and CHIP MCO Special Investigative Units
Executive Summary - This report summarizes audits published between 2018 and 2022 of special investigative unit activities at five managed care organizations: Aetna Better Health of Texas, Blue Cross and Blue Shield of Texas, Community First Health Plans, Driscoll Health Plan, and Molina Healthcare of Texas. Issued November 28, 2022. OIG Report No. AUD-23-003.       

Oversight of the HHSC Home and Community-Based Services (HCS) Program: HHS Regulatory Services Division and HHS Contract Administration and Provider Monitoring
Executive Summary - The audit objective was to determine whether the Texas Health and Human Services Commission (HHSC) Home and Community-Based Services (HCS) program’s (a) residential reviews aligned with certification requirements and enforcement remedies, (b) residential reviewers used the HHSC Waiver Survey and Certification Residential Checklist correctly and consistently, and (c) residential review results were maintained and analyzed. Issued November 22, 2022. OIG Report No. AUD-23-002.