The Office of Inspector General (OIG) understands that during the COVID-19 pandemic providers may experience increased demand for services and staffing shortages.
On March 13, Texas Governor Greg Abbott declared a state of disaster in Texas due to the new coronavirus disease 2019 (COVID‑19). The OIG continues to maintain operations during this time.
Our fraud hotline answered 6,931 calls in the first quarter of fiscal year 2020. A total of 7,449 calls were received, which is an answer rate of 93 percent. The average wait time for callers was 18 seconds.
The OIG’s Electronic Benefits Transfer (EBT) unit completed 67 investigations and presented another 31 investigations for either administrative disqualification hearings (14) or prosecution (17).
The OIG made recommendations to effectively recover funds from the Texas Comptroller of Public Accounts Unclaimed Property Program.
Governor Greg Abbott has reappointed Sylvia Hernandez Kauffman as the Inspector General for Health and Human Services for a term set to expire on February 1, 2021.
The OIG’s Benefits Program Integrity (BPI) division completed 3,928 investigations involving some form of benefit recipient overpayment or fraud allegation.
The Office of Inspector General published its first quarterly report for fiscal year 2020.
The OIG has a new web address to highlight its mission and connect with stakeholders.
The Texas Medicaid Vendor Drug Program requests the OIG perform continuous audits of pharmacies enrolled in the program.