The Texas State Auditor’s Office has released their audit report, An Audit Report on Medicaid Managed Care Contract Processes at the Health and Human Services Commission.
The audit found that:
- The Commission lacks a documented audit selection process, and there are gaps in the Commission’s performance audit coverage.
- The Commission did not sufficiently follow up on issues identified from performance audits and AUP engagements.
- The Commission did not ensure that procedures for identifying issues at MCOs were consistent between the two contracted audit firms.
- The Commission’s Medicaid CHIP division and the Office of Inspector General did not coordinate audit coverage to minimize duplication of effort.
- The Commission did not collect all costs for audit-related services.
- The Commission generally collected rebates from MCOs as required.
- The Commission should use information from its External Quality Review Organization to strengthen its monitoring of MCOs’ performance.
- The Commission should strengthen controls over certain information technology systems.
View the audit report here:
http://www.sao.texas.gov/SAOReports/ReportNumber?id=17-007
