The Office of Inspector General has released a report that identifies HHS procurement issues raised by multiple audits, reports and investigations over the last five years.

Vendors across the country have been getting fake requests for quotations purporting to be from state agencies, including at least one from the Texas Health and Human Services system.

The fake HHS email came with an attachment that looks like an official document. HHS is working with state and federal authorities to track the source, but in the meantime, vendors who get requests can email HHSC at pcs_cst_hhsc@hhsc.state.tx.us to confirm their legitimacy.

OIG's Inspections Division has issued reports on its inspections of the Electronic Visit Verification program and Medicaid Payments for Deceased Clients.

The Electronic Visit Verification (EVV) report details the inspection of the EVV system to determine how effective it is at verifying that home visits for Medicaid clients occurred and at confirming that home services were provided.

OIG's Audit Division has issued a report on its audit of Driscoll Health Plan's Special Investigative Unit.

The OIG found that Driscoll maintains a contractually required annual SIU fraud, waste, and abuse plan, but needs to improve its SIU function in order to comply with the plan and effectively detect and investigate fraud, waste, and abuse, report reliable information on SIU activities to the OIG, and recover identified overpayments.

HB 2523, passed in the 85th Texas Legislature in June 2017, authorized the OIG to employ and commission peace officers to fulfill its federally mandated responsibility as the state law enforcement bureau for SNAP and TANF investigative purposes. Peace officers can obtain and execute search and arrest warrants as needed, can access law enforcement sensitive information and law enforcement databases, receive specialized training, use grant funding programs, and participate in federal task force operations.

The Medicaid Program Integrity Division (MPI) conducted a fraud detection operation (FDO) in January 2018 that focused on behavioral health providers. The providers investigated included a group practice providing behavioral health services, individual psychologists, and licensed professional counselors located in Houston, San Antonio, and McAllen. Evidence collected on three of the four providers selected by the OIG substantiated the data analytics that flagged these providers’ billing behaviors.