In 2003, the 78th Texas Legislature created the Office of Inspector General to strengthen the Health and Human Services Commission's capacity to combat fraud, waste, and abuse in publicly funded state-run Health and Human Services programs.
The OIG's mission, as prescribed by statute, is the "prevention, detection, audit, inspection, review, and investigation of fraud, waste, and abuse in the provision and delivery of all health and human services in the state, including services through any state-administered health or human services program that is wholly or partly federally funded, and the enforcement of state law relating to the provision of these services."
Our primary tools for detecting, deterring, and preventing fraud, waste, and abuse are audits (conducted under the federal "Yellow Book" standard); investigations (conducted pursuant to generally accepted investigative policies); inspections (conducted under the federal "Silver Book" standard); and reviews (conducted under the federal "Green Book" standard).
Be the best state-level IG in the country.
Accountability. Integrity. Collaboration. Excellence.
To detect, prevent, and deter fraud, waste, and abuse through the audit, investigation, inspection, and medical review of federal and state taxpayer dollars used to deliver health and human services in Texas.
Defining fraud, waste, and abuse
Fraud: Any act that constitutes fraud under applicable federal or state law, including any intentional deception or misrepresentation made by a person with the knowledge that the deception could result in some unauthorized benefit to that person or another person.
Waste: Practices that a reasonably prudent person would deem careless or that would allow inefficient use of resources, items, or services.
Abuse: Practices that are inconsistent with sound fiscal, business, or medical practices and that result in unnecessary program cost.