A scathing report released by the State Auditor's Office in Texas reveals that organizational mismanagement and failure to adhere to internal policies allowed the Texas Health And Human Services Commission and the Office of Inspector General to award two no-bid contracts worth $110 million to 21CT for fraud prevention software and services.
The Texas Health and Human Services Commission, still dealing with the fallout from the 21CT no-bid contract that led to a criminal investigation and altered the reputation of the agency, now faces another controversy: A video in which former HHSC supervisors urge investigators to find $1 billion in fraudulent Medicaid payments, even though actual recoveries didn't even reach eight figures.
Weeks after a no-bid contract scandal that embroiled the Texas Health and Human Services Commission (HHSC) and the state's Office of the Inspector General, the state has hired a new inspector general, initiated sweeping changes aimed at changing the way the HHSC investigates fraud and offered up legislation that alters the way contacts are awarded throughout the state.
Developing a culture of compliance is imparative to fraud prevention. Over the last several months, as the Texas Health and Human Services Commission's Office of Inspector General has become further embroiled in controversy, i'ts become clear that leaders at the agency developed a culture that led to mismanagement of the entire fraud prevention program. Now that two of the agency's top officials haver resigned, perhaps the state can start anew.
After months of scrutiny, two top officials at the Texas Health and Human Services Commission's Office of Inspector General are out of jobs amid questions surrounding a $110 million Medicaid fraud software contract.
The Texas Health and Human Services Commission Office of Inspector General announced a $3.75 million settlement with Carousel Pediatrics, a primary care provider for over 25,000 children, for "a pattern of billing errors." But for some providers treating Texas Medicaid patients, the case raised concerns about how the government distinguishes fraud from human error, according to The New York Times.
The Texas Health and Human Services Commission is examining how neonatal intensive care units are managed and patients referred as part of a cost-savings campaign, reports the Texas Tribune. The
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