Reports

Feb
2017
Audit

Audit of DADS Claims Management System: Information Technology Interface Processing Controls

The IG Audit Division has completed the Audit of DADS Claims Management System: Information Technology Interface Processing Controls. This report contains the results of an audit of (DADS) Claims Management System, which was developed to adjudicate Medicaid fee-for-service claims for the aging and disabled Medicaid recipients of Texas served by DADS long-term care program areas. IG Audit Division Report IG-16-120 issued February 28, 2017.

Feb
2017
Audit

Deep East Texas Council of Governments: While HHS Contract Funds Were Used as Intended, Financial and IT Controls Should be Improved

The IG Audit Division has completed the report Deep East Texas Council of Governments: While HHS Contract Funds Were Used as Intended, Financial and IT Controls Should be Improved. This report contains the results of an audit of state funds paid to DETCOG through three contracts with Health and Human Services agencies worth $1.5 million. IG Audit Division Report IG-16-017 issued February 28, 2017.

Feb
2017
Audit

Audit of Recovery of Overpayments Identified in Federal Audits

The IG Audit Division has completed Audit of Recovery of Overpayments Identified in Federal Audits. This report contains the results of an audit of the effectiveness of HHSC policy and processes related to the recovery of overpayments identified during federal audits. IG Audit Division Report IG-16-110 issued February 28, 2017.

Feb
2017
Audit

Medicaid and CHIP MCO Special Investigative Units: Initiatives Underway to Improve Collaboration and Performance

The IG Audit Division has completed the informational report Medicaid and CHIP MCO Special Investigative Units: Initiatives Underway to Improve Collaboration and Performance. This report summarizes special investigative units (SIU) program effectiveness based on the results of seven audits performed by the IG Audit Division, and additional information provided by managed care organizations (MCOs) in response to an IG survey. IG Audit Division Report IG-16-018 issued February 28, 2017.

Feb
2017
Audit

Texas Medicaid Speech Therapy: Informational Report on Payment Trends and Service Delivery

This informational report, Texas Medicaid Speech Therapy: Informational Report on Payment Trends and Service Delivery, is the first in a series of reports related to the audit of Texas Medicaid speech therapy providers. IG Audit Division Report IG-17-010 issued February 28, 2017.

Feb
2017
Audit

Audit of Acute Care Utilization Management in Managed Care Organizations: Community Health Choice, Inc.

The IG Audit Division has completed Audit of Acute Care Utilization Management in Managed Care Organizations: Community Health Choice, Inc. This report is one in a series of reports related to the audit of Medicaid and CHIP MCO utilization management functions. IG Audit Division Report IG-16-063 issued February 28, 2017.

Feb
2017
Audit

Audit of Acute Care Utilization Management in Managed Care Organizations: FirstCare Health Plans

The IG Audit Division has completed Audit of Acute Care Utilization Management in Managed Care Organizations: FirstCare Health Plans. This report is one in a series of reports related to the audit of Medicaid and CHIP MCO utilization management functions. IG Audit Division Report IG-16-063 issued February 21, 2017.

Feb
2017
Audit

Audit of Selected Noncompetitive Contractor Procurements Over $10 Million: Early Childhood Intervention Program Contract Between Texas Department of Assistive and Rehabilitative Services and Easter Seals Rehabilitation Center

The IG Audit Division has completed Audit of Selected Noncompetitive Contractor Procurements Over $10 Million: Early Childhood Intervention Program Contract Between Texas Department of Assistive and Rehabilitative Services and Easter Seals Rehabilitation Center. This report is one of a series of reports related to the audit of contractors selected as noncompetitive procurements over $10 million. IG Audit Division Report IG-16-072 issued February 21, 2017.

Dec
2016
Quarterly

Quarterly Report December 2016

The IG Quarterly Report for the first quarter of fiscal year 2017 is now available. It details the work done by IG in detecting, deterring, and recovering fraud, waste, and abuse in the state's taxpayer-funded assistance programs, as well as the office's plans moving forward.

Nov
2016
Audit

Audit of Acute Care Utilization Management in Managed Care Organizations: Superior HealthPlan, Inc.

This performance audit report, Acute Care Utilization Management in Managed Care Organizations: Superior HealthPlan, is one in a series of reports related to the audit of Medicaid and CHIP MCO utilization management functions. IG Audit Division Report No. IG-16-061 issued November 30, 2016.

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