Operations Division

Third Party Recoveries for fiscal year 2020 3rd quarter. Quarter 1: $51,003,271. Quarter 2: $58,062,728. Quarter 3: $169,446,354. Quarter 4: $85,660,463.

The Operations Division is comprised of six core functions:

Purchasing and Contract Management helps to ensure compliance with purchasing and contracting laws, rules and policies by coordinating with OIG divisions throughout the procurement and contracting lifecycle and processing of invoices prior to submission to Accounts Payable.

The Fraud Hotline receives allegations of fraud, waste and abuse and refers them for further investigation or action as appropriate.

Finance and Budget oversees the OIG budget, tracks recoveries, reports Legislative Budget Board performance measures and works closely with HHSC Central Budget on the agency’s LAR/Exceptional Items.

Program Support and Training promotes OIG training services and internal policy development.

Third Party Recoveries (TPR) works to ensure that Medicaid is the payor of last resort and operates the Medicaid Estate Recovery Program.

The Ombudsman provides an independent and neutral process for OIG employees to address concerns and work towards resolution.