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.

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

Pages

Categories

Archives