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Report File
Date Issued
Submitting OIG
Department of Health & Human Services OIG
Other Participating OIGs
Department of Health & Human Services OIG
Agencies Reviewed/Investigated
Department of Health & Human Services
Report Number
A-06-17-04003
Report Description

We have performed audits in several States in response to a congressional request concerning deaths and abuse of residents with developmental disabilities in group homes.Federal waivers permit States to furnish an array of home and community-based services to Medicaid beneficiaries with developmental disabilities so that they may live in community settings and avoid institutionalization. CMS requires States to implement a critical incident reporting system to protect the health and welfare of Medicaid beneficiaries receiving waiver services. Our objective was to determine whether Texas complied with Federal waiver and State requirements for reporting and monitoring critical incidents involving Medicaid beneficiaries with developmental disabilities who resided in community-based settings from January through December 2016.

Report Type
Audit
Location

TX
United States

Number of Recommendations
3
Additional Details
https://oig.hhs.gov/oas/reports/region6/61704003.asp
External Entity
State of Texas

Open Recommendations

This report has 3 open recommendations.
Recommendation Number Significant Recommendation Recommended Questioned Costs Recommended Funds for Better Use Additional Details
269004 No $0 $0

We recommend that the Texas Health and Human Services Commission implement a system to ensure that it can track complaints not closed within 10 days.

269003 No $0 $0

We recommend that the Texas Health and Human Services Commission implement procedures to ensure that ensure that procedures are followed to detect unreported deaths.

269005 No $0 $0

We recommend that the Texas Health and Human Services Commission implement procedures to ensure that investigations of abuse, neglect, and exploitation are entered in the Health and Human Services Enterprise Administration Reporting and Tracking system database.

Department of Health & Human Services OIG

United States