The Texas Health and Human Services Commission has published their Internal Audit Annual Report for Fiscal Year 2014 as well as their Internal Audit Plan for Fiscal Year 2015.
Audit projects for 2015 include:
- Managed Care Contract Management
- Rate Analysis Supplemental Payments
- HHS Enterprise Tracking of Complaints and Inquiries in HEART
- Oversight of Statewide Network of Community Partners
- Medicaid/CHIP Enrollment Broker Contract Monitoring
- Eligibility Operations – Data Integrity Unit Processes
- Office of Community Services Subrecipient Monitoring
Carry forward audits from 2014 include:
- Premium Payment Processes
- Claims Administrator Contract Monitoring
- Eligibility Documentation
- HHS Enterprise Administrative Report and Tracking (HEART) System
- Access and Security
- Non-Routine Procurements and Purchases
- Texas Integrated Eligibility Redesign System (TIERS) Data
- Processing and Integrity
- Security Incident Management
- Medical Transportation Program Contract Monitoring of
- Transportation Services
- Medicaid and CHIP Division Delivery System Reform Incentive
- Payment (DSRIP) Program