On page II-70 of the Health and Human Services Commission bill pattern of CSHB 1 (house committee printing), amend Rider 76:
76. Office of Inspector General Report. Out of funds appropriated above in Strategy K.1.1, Office of Inspector General, the Office of Inspector General shall submit, on a quarterly basis, the following information related to the expansion of managed care to the Legislative Budget Board and the Office of the Governor:
(a) The challenges the Office of the Inspector General is encountering in preventing, detecting, and investigating fraud, waste, and abuse throughout the entire health and human services system, including verification of services, compliance of managed care organizations with program integrity requirements, quality, and accuracy of encountered data, collaborative efforts with Special Investigation Units, audits of managed care organizations, and any deficiencies in the agency's statutory authority;
(b) Strategies the Office of Inspector General is implementing to address the challenges encountered in combating fraud, waste, and abuse throughout the entire health and human services system;
(c) Average number of clients in the lock-in program in each quarter of the fiscal year and the fiscal year total in the fourth quarterly report of the fiscal year;
(d) Total dollar identified (millions) of potential overpayments identified for recovery resulting from activities of the Office of the Inspector General, including under the Medicaid managed care program in accordance with Government Code, Section 531.117;
(e) Total number of skills trainings presented by Office of the Inspector General staff or external entities to internal staff, and trainings presented by Office of the Inspector General staff external stakeholders; and
(f) The number of referrals to the Office of the Attorney General's Medicaid Fraud Control Unit including the fiscal year total in the fourth quarterly report of the fiscal year.
The Office of Inspector General may submit the above information in an individual report prepared in a format specified by the Legislative Budget Board or include the information in the quarterly report required pursuant to Government Code, Section 531.102.