Quality Review Section
Resources and Training Federal HHS-OIG (Health and Human Services Office of Inspector General) Regulations affecting Quality Review Screening Criteria CARE form General Long Term Care Resource TILE training Sub-recipient Financial Review Unit Uniform Grants Management Standards (UGMS) and State of Texas Single Audit Circular Office of Management and Budget (OMB) Circular A-21 – Educational Institutions OMB Circular A-87 – State, Local and Indian Tribal Governments OMB Circular A-122 – Non-Profit Organizations OMB Circular A-102 - State and Local Governments OMB Circular A-110 – Educational Institutions, Hospitals and Non-Profit Organizations OMB Circular A-133 – Audits of States, Local Governments and Non-Profit Organizations 45 CFR 92 – Administrative Requirements (Common Rule) for State and Local Governments (select CFR) 45 Code of Federal Regulations (CFR) Part 74 – Administrative Requirements (Common Rule) for Educational Institutions, Hospitals, Non-Profit Organizations, Commercial Organizations and Certain Agreements with State and Local Governments and Indian Tribal Governments (select CFR) Financial Administrative Procedures Manual and Appendices, In-Kind Match Documentation Requirements Public Health Services (PHS) Grants Policy Statement (applies to certain Department of Health and Human Services grants and sub grants) WIC Fiscal Monitoring Links WIC Website WIC Policy Manual DSHS Performance Management Single Audit Links OMB Circular A-133 State of Texas Single Audit Circular (Part IV, UGMS) Medicaid/CHIP Audits Centers for Medicare and Medicaid Services Health and Human Services Commission Medicaid Program Texas Medicaid and Healthcare Partnership Social Security Act, Title XIX Maximus Institute for Child Health Policy, University of Florida
Sub-recipient Financial Review Unit
WIC Fiscal Monitoring Links
Single Audit Links
Medicaid/CHIP Audits
To check the Medicaid Provider Exclusion list
Third Party Payment Authority Key areas of authority allowing the State to pursue third party payments include:
Medicaid Provider Integrity Authority
MPI's statutory authority comes from the following:
Texas Human Resources Code, Chapter 32 and 36 Texas Government Code 531.001 et seq Texas Occupations Code, Chapter 102 42 United States Code(USC) Social Security Act
Texas Human Resources Code, Chapter 32 and 36
Texas Government Code 531.001 et seq
Texas Occupations Code, Chapter 102
42 United States Code(USC)
Social Security Act
MPI regulatory authority comes from the following:
1 Texas Administrative Code (TAC), Sections 371.1601 – 371.1675 42 Code of Federal Regulations(CFR)
1 Texas Administrative Code (TAC), Sections 371.1601 – 371.1675
42 Code of Federal Regulations(CFR)
Related Links and Resources
Texas Medicaid and Healthcare Partnership (TMHP) State Board of Medical Examiners State Board of Dental Examiners Board of Vocational Nurse Examiners (LVN) Board of Nurse Examiners (RN) Texas State Board of Pharmacy Optometry Board Board of Examiner for Psychology Center for Medicare and Medicaid Services Texas Workforce Commission United States Department of Health and Human Services Office of Attorney General Attorney General's Medicaid Fraud Control Unit
Identity Fraud
National White Collar Crime Center Federal Trade Commission United States Secret Service Texas Department of Public Safety