About OIG Audit reports

March 2020 Audit

Final audit reports are posted to the OIG 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.

This report was submitted to the Legislative Budget Board and the Governor in compliance with the 2020-21 General Appropriations Act, House Bill 1, 86th Legislature, Regular Session, 2019 (Article II, Health and Human Services Commission, Rider 114). Issued February 28, 2020.

This audit determined whether Amerigroup properly assessed members to participate in the Home and Community Based Services (HBCS) Waiver in the Medicaid Rural Service Area (MRSA) West. Issued February 28, 2020.

This audit tested whether Collin County MHMR Center coordinated services to enrollees, monitored and evaluated service delivery, and reported general revenue expenses according to contract requirements. Issued February 28, 2020. Revised March 6, 2020.

The audit was to determine whether controls over contract funds were in place and data was reported to DFPS in accordance with contract terms. No issues were noted. Issued February 26, 2020.

The audit evaluated City Drug Company to determine whether it properly billed VDP and complied with contractual and state requirements, and evaluated IT general controls to determine whether data used for audit testing was reliable. Issued February 20, 2020.

The audit objective was to evaluate the DentaQuest’s effectiveness in complying with selected contract requirements, achieving related contract outcomes, and reporting financial and performance results to HHSC. Issued January 9, 2020.

Quarterly Report: Quarter 1, FY 2020

December 2019 Quarterly

The IG Quarterly Report for the first quarter of fiscal year 2020.

The audit assessed the design and effectiveness of selected security controls over confidential HHS System information stored and processed by Children’s Medical Center Health Plan. Issued December 20, 2019.

This audit report summarizes non-emergency medical transportation services in Texas Medicaid managed transportation organizations, based on the results of four audits performed by the OIG Audit Division. Issued December 3, 2019.

Joint OIG-MFCU Report

December 2019 Other

The Joint Annual Report on Fraud and Abuse in Medicaid, compiled by OIG and the Attorney General's Medicaid Fraud Control Unit, for fiscal year 2019.

MCO Fraud Recoveries Report

November 2019 Other

The Annual Report on Certain Fraud and Abuse recoveries for fiscal year 2019.

Ths report details the inspection to determine if Texas Medicaid Healthcare Partnership - Third Party Liability has effective processes to recover HHSC identifiable funds from the Texas Comptroller of Public Accounts, Unclaimed Property Program. Issued November 20, 2019.

SSLC Investigations Report

November 2019 Other

The Annual Report of State Supported Living Center Investigations for fiscal year 2019.

The Annual Report of State Hospital Investigations for fiscal year 2019.

 This report details the inspection to determine if Managed Care Organizations' complaint intake and resolution processes are consistent with the Uniform Managed Care Manual and Uniform Managed Care Contract requirements. Issued October 4, 2019.

Consolidated SB 30 Report

October 2019 Other

The Consolidated Senate Bill 30 Annual Report for fiscal year 2019.

Quarterly Report: Quarter 4, FY 2019

September 2019 Quarterly

The IG Quarterly Report for the fourth quarter of fiscal year 2019.

PARIS-VA Match Report

September 2019 Other

The annual PARIS-VA Match Report for fiscal year 2019.

The audit determined whether Medicaid and CHIP Services, through monitoring selected contract deliverables, effectively managed the STAR Kids and STAR Health programs for the Medically Dependent Children Program (MDCP). Issued August 30, 2019.