State Auditor’s Office
5 indexed reports
An Audit Report on Cook Children’s Health Plan, a Managed Care Organization
Cook Children’s Health Plan accurately reported STAR Kids medical and pharmacy expenses in FY 2020 and complied with eligibility requirements for medical and pharmacy claims. However, improvements are...
An Audit Report on The Health and Human Services Commission’s Oversight of the Medical Transportation Program
The audit identified strengths in some areas but also significant weaknesses that could affect the program's integrity and compliance. The Commission has committed to implementing recommended improvem...
An Audit Report on Blue Cross Blue Shield of Texas, a Managed Care Organization
The audit found that while the Health Plan accurately reported medical, administrative, and quality improvement expenses, its pharmacy expense reporting was flawed due to unallowable practices by the ...
An Audit Report on Medicaid Managed Care Contract Processes at the Health and Human Services Commission
The audit found that the Health and Human Services Commission has made significant progress in establishing processes and controls related to Medicaid managed care contract management, in compliance w...
Medicaid Managed Care Contract Processes at the Health and Human Services Commission
The Commission has made significant progress in establishing processes and controls for Medicaid managed care contract management, aligning with Senate Bill 894 requirements. However, further efforts ...