Texas
Texas Health and Human Services Commission Office of Inspector General
Published February 20, 2026

Dental Value-Added Services—Wellpoint

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Overall Conclusion

Wellpoint did not consistently submit dental value-added services encounters with the correct financial arrangement code.

Source Document

Audit Scope

Scope covered September 1, 2022 through August 31, 2023, focusing on dental value-added services encounters within the STAR+PLUS program.

Key Findings Summary

1

Wellpoint did not consistently submit dental value-added services encounters with the correct financial arrangement code; 2,529 of 8,427 encounters (30%) were coded as payable dental services (financial arrangement code 04) instead of value-added services (financial arrangement code 11), totaling $105,942.

AI-Assisted

Generated by gpt-5-nano

AI Scope Summary

This inspection evaluated whether Wellpoint properly reported dental value-added services encounters with the correct financial arrangement code (11) under the STAR+PLUS program during September 1, 2022, to August 31, 2023, and concluded that a significant portion of encounters were misclassified; future audits should assess corrective actions, ongoing code usage, and impact on risk-adjusted financial metrics and program rebates.

AI-Generated Insight

The inspection identified a systemic misclassification of dental value-added service encounters by Wellpoint, with 30% of sampled encounters coded as payable (04) rather than value-added (11), potentially affecting HHSC's financial statistics, capitation rates, and rebates.

Audit Objectives

1

Determine whether Wellpoint submitted encounters for dental value-added services in accordance with applicable requirements.

Audit Findings (1)

1

Wellpoint did not consistently submit dental value-added services encounters with the correct financial arrangement code; 2,529 of 8,427 encounters (30%) were coded as payable dental services (financial arrangement code 04) instead of value-added services (financial arrangement code 11), totaling $105,942.

Recommendations (6)

1

Implement controls to verify it reports STAR+PLUS dental value-added services encounters with the correct financial arrangement code.

2

Ensure its encounter system accurately identifies members enrolled in a STAR+PLUS HCBS waiver.

3

Correct the encounters and paid claims submitted with the incorrect financial arrangement code as applicable.

4

Review its state fiscal year 2023, 2024, and 2025 FSRs to determine whether any reported dental value-added services expenses were included in the medical expenses.

5

Contact HHSC Financial Reporting and Audit Coordination to receive guidance on the correction of any misreported medical expenses.

6

Review its state fiscal year 2026 encounters to verify financial arrangement code 11 was used as applicable until a control is implemented.