The OIG conducted an audit to assess the effectiveness of security controls over confidential HHS system information stored by an MCO.
Texas Children’s Health Plan (TCHP) is a licensed managed care organization (MCO) that contracts with the State of Texas to provide Medicaid and Children’s Health Insurance Program (CHIP) services through its network of providers. TCHP processes and pays Medicaid and CHIP managed care provider claims, which contain confidential data, including protected health information. TCHP is required to protect and secure confidential Health and Human Services (HHS) System information, such as claims data.
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