The audit evaluated Houston Medicine Chest, LLC 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 3, 2017.

Pediatric Dental Sedation

July 2017 Inspections

This report details the inspection of Texas Medicaid providers to determine if dental sedation procedures performed on Medicaid pediatric patients are medically necessary and meet the standard of care. Issued July 14, 2017.

The IG Quarterly Report for the third quarter of fiscal year 2017.

Opioid Drug Utilization

May 2017 Inspections

This report details the inspection of Texas Medicaid efforts to reduce prescription opioid abuse and overutilization. Issued May 30, 2017.

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. Revised November 14, 2017.

The IG Audit Division has completed Audit of the University of Texas Medical Branch at Galveston Cost Report: Fiscal Year 2014.

The IG Audit Division has completed Audit of Acute Care Utilization Management in Managed Care Organizations: Amerigroup Texas, Inc. and Amerigroup Texas Insurance Company.

The IG Quarterly Report for the second quarter of fiscal year 2017.

The IG Audit Division has completed the Audit of DADS Claims Management System: Information Technology Interface Processing Controls.

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.

The IG Audit Division has completed the informational report Medicaid and CHIP MCO Special Investigative Units: Initiatives Underway to Improve Collaboration and Performance.

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.

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.

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.

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.

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.

Quarterly Report: Quarter 1, FY 2017

December 2016 Quarterly

The IG Quarterly Report for the first quarter of fiscal year 2017.

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.

This performance audit, Alamo Area Council of Governments, 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-16-071 issued November 30, 2016.

MCO Fraud Recoveries Report

November 2016 Other

The Annual Report on Certain Fraud and Abuse recoveries for fiscal year 2016.

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