Information for MCOs

Provider Claims Data Request Process for MCOs

Uniform Managed Care Manual - OIG Deliverables

About OIG

OIG Information Pamphlet

Viewable version

Printable version

Español

Fraud posters

Download and print OIG fraud hotline posters (8.5 x 14 size).

D-SNAP

Proper Use of Disaster Supplemental Nutritional Assistance Program (D-SNAP) Benefits: English  Español

Attendant Care Services

Fraud, waste, and abuse letters

For providers

For attendants: English   Español

For clients: English  Español

Home health fraud and abuse prevention advisory

Dental Services

Dental services fraud and abuse prevention advisory 

Dental solicitation analysis presentation (June 2019)

Audit

Rolling Audit Plan

Single Audit Determination

Audit Division Risk Assessment

Audit protocols

Texas Medicaid Fee-for-Service Vendor Drug Program Audits

Medical Services

NFUR Stakeholders 

Hospital Stakeholders

Overview of Lock-In Program

Inspections

Annual Inspection Plan for fiscal year 2019

Provider enrollment and reinstatement

Enrollment process chart

Application

New Provider Application Guidance

Download the Provider Reinstatement Procedure

Legal

Payment Hold and Overpayment Procedures

Offering Gifts and Other Inducements to Beneficiaries

OIG Self Disclosure

Search Excluded Providers

Updates from TMHP

For the latest news and banner messages from TMHP, visit the TMHP Medicaid provider home page.

Texas Medicaid Provider Procedures Manual.

CMS outreach and education

Search the training and outreach topics offered by the Centers for Medicare & Medicaid Services.

HHS compliance

Compliance education materials from the U.S. Department of Health & Human Services OIG: Compliance 101

Health care services

Your Texas Benefits: How to get help in Texas

U.S. Department of Health and Human Services

Medicaid

Texas Capitol