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OIG Self-Disclosure Protocol 2013
OIG's Self-Disclosure Protocol is based on the federal Provider Self-Disclosure Protocol (SDP) found at 63 Fed. Reg. 58,399 (1998).  This Protocol is designed to provide guidance to a health and human services program provider who has self-discovered evidence of an overpayment by a health and h
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Hearing Aid Advisory and Guidance
HHSC will honor previous TMHP guidance on past claims for hearing aids. This means the Office of Inspector General (OIG) will not pursue recoupment against hearing aid providers who billed and received the maximum allowable fee according to HHSC fee schedules from July 1, 2008, through February
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OIG Annual Report - MCO Fraud and Abuse Recoveries
This report summarizes recoveries made by Managed Care Organizations bue to fraudulent claims and other types of program abuse by HHSC clients and service providers.
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Improper Solicitation by Dentists
The HHSC Office of Inspector General has become aware of dental clinics directly soliciting Medicaid clients. People hired by dental clinics have approached HHSC clients in the parking lots of state benefit offices or neighborhood grocery stores offering a variety of incentives, including free gift
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Publication List
This is a list of downloadable reports and publications from the Texas HHSC Office of Inspector General.
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What is a Payment Hold?
A payment hold is a temporary denial of reimbursement under the Medicaid or other HHS program for items or services furnished by the provider of interest. This stoppage is considered an administrative sanction that stays in place until the matter in dispute between the provider and the Health and H
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2011 OIG Annual Report
Each year, OIG publishes its Annual Report.  The report is a recap of the previous fiscal year's performance, as well as a general primer on OIG's functional divisions.  
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Audits
OIGs detection functions include detailed audits conducted on a wide variety of providers. OIG conducts these audits in accordance with Generally Accepted Government Auditing Standards, or GAGAS (more commonly known as Yellow Book standards.)
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Open Records Policy
As a state agency, the Texas Health and Human Services Commission has a duty to provide the public with information about its operations.  However, state law provides that any records compiled by the Office of Inspector General in connection with an investigation or audit are confidential and n
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About the Texas Exclusions Database
The Office of Inspector General works to protect the health and welfare of people receiving Medicaid and other state benefits.  To help protect these recipients, OIG may prevent certain people or businesses from participating as service providers.  The people or businesses who are excluded
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JUST ADDED RECENT PUBLICATIONS
OIG Self-Disclosure Protocol 2013
Hearing Aid Advisory and Guidance
OIG Annual Report - MCO Fraud and A
Improper Solicitation by Dentists
What is Fraud, Waste and Abuse?
OIG Self-Disclosure Protocol 2013
Offering Gifts and Other Inducements to Beneficiaries
OIG Annual Report - MCO Fraud and Abuse Recoveries
What is Fraud, Waste and Abuse?
Welcome to OIG
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HHSC’s OIG Adopts New Strategy for Tackling Medicaid Fraud in Texas: Stop the Money Before It’s Spent. Learn more at: http://t.co/FrfZiYzF Posted 328 days ago
Report improper solicitation or treatment by dentists to the HHSC Office of Inspector General. Learn more at: http://t.co/WQmvt4uY Posted 344 days ago
Remember, buying or selling #foodstamps is against the law. Posted 708 days ago