The Audit Division conducts risk-based audits related to the accuracy of medical provider payments; the performance of HHS agency contractors; and programs, functions, processes, and systems within the HHS system. Protocols of provider audits are periodically published on the Resources page on the OIG’s website. Audit also coordinates all federal government audits of the HHS System.

The Policy Advancement Unit serves as the health care policy subject matter expert and liaison across the OIG. The unit conducts analysis of program policies and coordinates and ensures timely and effective communication with a variety of stakeholders.

Note:  Final audit reports are posted to the IG website when issued. These reports are subject to appeal upon timely, written, proper requests for appeal, as provided for in rule. These final audit reports are public records and remain posted on the website during and after an appeal.

Document links

Rolling Audit Plan, updated February 2019.

Audit Process Overview

OIG Audit Division Overview   Print-and-fold version

Audit Division Risk Assessment

Protocols for Texas Medicaid fee-for-service Vendor Drug Program audits.

External quality assurance review letter, issued August 2019.

External quality assurance review letter, issued January 2017.

Resources for providers