Reports

May
2017
Audit

Dental Service Organizations: Informational Report

The IG Audit Division has completed this informational report, Dental Service Organizations, to gain an understanding of DSOs and how they support the delivery of dental services provided to Medicaid and CHIP-eligible individuals. Issued May 31, 2017.

May
2017
Audit

Audit of the University of Texas Medical Branch at Galveston Cost Report: Fiscal Year 2014

The IG Audit Division has completed Audit of the University of Texas Medical Branch at Galveston Cost Report: Fiscal Year 2014. This report contains the results of an audit to determine whether selected cost centers reported on the Medicare cost report were accurate, allowable, and adequately supported according to Centers for Medicare and Medicaid (CMS) and state requirements. Issued May 30, 2017.

May
2017
Audit

Audit of Acute Care Utilization Management in Managed Care Organizations: Amerigroup Texas, Inc. and Amerigroup Texas Insurance Company

The IG Audit Division has completed Audit of Acute Care Utilization Management in Managed Care Organizations: Amerigroup Texas, Inc. and Amerigroup Texas Insurance Company.  This report is one in a series of reports related to the audit of Medicaid and CHIP MCO utilization management functions. Issued May 30, 2017.

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.

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