Divisions

The HHS Inspector General’s office is organized into the following divisions. You can learn more by clicking on the link to the division’s page.

Audit

The Audit Division conducts risk-based audits of contractors, providers, and HHS programs to reduce fraud, waste, and abuse throughout the HHS System.

Chief Counsel

The Chief Counsel division provides dedicated attorneys for the Audit, Investigations, Inspections and Medical Services divisions, and advises the IG on a wide array of complex topics centered on our mission to pursue and take effective action against fraud, waste, and abuse.

Inspections

The Inspections Division conducts inspections of HHS programs, systems, or functions focused on systemic issues. It provides practical recommendations to improve effectiveness and efficiency to prevent fraud, waste, and abuse.

Investigations

The Investigations division works to protect the integrity of the Texas Medicaid system and other Health and Human Services programs by investigating allegations of provider or recipient fraud, waste, and abuse.

Medicaid Program Integrity

MPI investigates allegations of fraud, waste, and abuse committed by Medicaid providers. MPI makes referrals to the Attorney General's Medicaid Fraud Control Unit (AG-MFCU) when there are indicators of criminal Medicaid fraud.

Medical Services

The Division of Medical Services’ mission is to identify and recover inappropriate Medicaid billing by analyzing Medicaid fee-for-service claims and managed care encounter data, conducting medical policy research, and performing review activities. The division also provides clinical professional consultation to other division staff in physician, nursing, dentistry, and pharmacy.

Support Services

These divisions help other IG divisions achieve their goals of detecting and deterring fraud, waste, and abuse in Texas Health and Human Services System programs.

• Data and Technology: This division implements tools, solutions, and innovative data analytic techniques to streamline operations and increase the identification of fraud, waste, and abuse.
• Operations: This division promotes a culture of collaboration, innovation, and accountability throughout the IG by enhancing efficiency and effectiveness, and promoting responsibility.
• Policy and Publications: This division ensures timely and effective external communication and outreach with a variety of stakeholders, and analyzes legislation and HHS program policies.