Rep. Raymond Asks For Review of All Medicaid Cases Handled by Fired OIG Actuary

wilson testimony
Inspector General Doug Wilson before the House Human Services Committee chaired by Rep. Richard Peña Raymond in September

The Austin American Statesman reported this morning that Rep. Richard Peña Raymond, D-Laredo, has requested that the Texas Health and Human Services Commission Office of Inspector General review all Medicaid cases that were worked on by the now-terminated actuary that admitted to falsifying records in the case of Dr. Rachel Trueblood.

OIG settled Trueblood’s initial $16 million dollar overpayment for $39,000  one day after OIG senior actuary Brad Nelson was fired and escorted from HHSC offices.  Nelson apparently admitting to fudging the figures in Trueblood’s case per the termination letter TDMR has received a copy of and previously reported by the Statesman. An HHSC spokesperson said one didn’t have anything to do with the other.  Huh?

Raymond is chair of the House Human Services Committee which has oversight over OIG and recently held hearings on SB1803 which was enacted last year to provide due process rights for Medicaid providers being investigated by OIG.

He called Douglas Wilson, the Inspector General, personally to make the request.

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