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.

About OIG Audit reports

September 2019 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.

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.

The audit determined whether services were authorized and provided to STAR Kids members in MDCP who received private duty nursing, and service coordination activities, assessments, and service plans supported the services for MDCP members who received private duty nursing.

The audit determined whether services were authorized and provided to STAR Kids members in MDCP who received private duty nursing, and service coordination activities, assessments, and service plans supported the services for MDCP members who received private duty nursing.

The audit objective was to evaluate the MCNA’s effectiveness in complying with selected contract requirements, achieving related contract outcomes, and reporting financial and performance results to HHSC. Issued August 30, 2019.

This report details the inspection to determine if Texas Medicaid ensures only eligible out-of-state Texas residents receive benefits. Issued August 30, 2019.

The audit was to determine whether contract funds were used as intended and the contractor billed and performed as required. No issues were noted. Issued August 28, 2019.

This report details the inspection to determine the accuracy of data contained in the online provider directories of managed care organizations. Issued August 23, 2019.

The audit evaluated Medicine Man 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 August 22, 2019.

The audit was conducted to determine whether LogistiCare’s performance in selected areas was in accordance with contract requirements. Issued August 22, 2019.

This audit evaluated whether Cigna complied with contractual requirements for performing service coordination in support of STAR+PLUS Level 1 members. Issued August 22, 2019.

This article explains how to prevent being the target of fraud or abuse by dental solicitors. Issued August 1, 2019.

The audit was conducted to determine whether confidential HHS System information in the custody of Texas Children’s Health Plan and its subcontractors was protected from unauthorized access, loss, or disclosure. Issued July 31, 2019.

The audit was conducted to determine whether Amistad’s performance in selected areas was in accordance with contract requirements. Issued July 23, 2019.

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