An OIG fraud detection operation (FDO) uncovered potential illegal dental solicitation among Medicaid providers.
The OIG has released the next audit in its series looking into service coordination for STAR+PLUS Level 1 members.
The OIG’s Benefits Program Integrity Division resolved a case in which a client repeatedly failed to report an income-earning family member.
The OIG conducted an audit of MCNA Insurance Company, a Texas Medicaid and CHIP Dental Maintenance Organization (DMO).
In fiscal year 2019, the OIG developed a fraud, waste and abuse (FWA) prevention strategy focused on raising awareness of FWA and educating three audiences: Medicaid providers, Medicaid clients, and HHS staff.
The OIG has taken an increasingly data-driven approach to fighting wrongdoing in Medicaid delivery.
The OIG completed an audit of the statewide financial impact of therapy practices at long-term care nursing facilities in fiscal year 2017.
The OIG completed an audit of a Vendor Drug Program provider that found an overpayment of $88,120 owed to the state.
EBT Trafficking Unit investigators received information from an investigative agency regarding the unauthorized use of more than 100 SNAP cards at a Travis County food truck.
The OIG closed its inaugural managed care transition plan for fiscal year 2019. The OIG has improved its approach, infrastructure, expertise and collaboration in the agency’s work in managed care.