An OIG audit of a Texas managed care organization (MCO) evaluated the effectiveness of its special investigative unit (SIU).
One way the OIG protects the health and welfare of people receiving Medicaid is by preventing certain people or businesses from participating as service providers.
Despite the challenges of working in the COVID-19 environment, the OIG Fraud Hotline continued to answer calls concerning fraud, waste and abuse (FWA) in the third quarter.
When Governor Abbott issued his disaster declaration on March 13, the OIG took steps to ensure that the agency continued its work while helping our stakeholders in the time of uncertainty.
Our Medicaid Program Integrity (MPI) team recovered more than $22 million in the third quarter of fiscal year 2020.
The OIG conducted an audit of Medicaid managed care nursing facility risk group assignments.
The Office of Inspector General published its third quarterly report for fiscal year 2020.
COVID-19’s impact on unemployment rates has led to more Texans filing for benefits. Providing incomplete or wrong information can cause a benefits application to be delayed or even denied.
The OIG completed an audit of DentaQuest USA Insurance Company, Inc., a Texas Medicaid and CHIP Dental Maintenance Organization.
The OIG reviewed waste prevention activities used by managed care organizations (MCOs) as well as the resources used by the OIG to combat fraud, waste and abuse (FWA) in Medicaid managed care.