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Fraud and Abuse Policy

Immunization Branch

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Fraud and Other Unlawful Activities
Policy Number AA-5042
Effective Date September 1, 2004
Revision Date  
Subject Matter Expert  
Approval Authority Chief Operating Officer
Signed by: Randy Fritz, MPA
    1.0 Purpose
    The purpose of this policy is to establish the Office of Inspector General (OIG) of the Health and Human Services Commission as the single point of referral for investigations into allegations of fraud, waste, abuse and other unlawful activities involving Department of State Health Services (DSHS) resources or funds.

    2.0 Policy
    The policy of DSHS is to minimize financial losses and protect the integrity of DSHS operations.

    3.0 Definitions

    4.0 Persons Affected
    All DSHS employees

    5.0 Responsibilities
    All employees shall report violations under this policy to the OIG. For basic information on what constitutes fraud and other unlawful activities under this policy, see the examples on the OIG web site at www.hhsc.state.tx.us/OIE/OIG/Fraud_Report_Home.html.

    6.0 Procedures
    DSHS employees shall immediately report all allegations of fraud and other unlawful activities to the OIG as directed by OIG procedures. Currently, these procedures are located at www.hhsc.state.tx.us/OIE/OIG/Fraud_Report_Home.html. This site contains forms and instructions for either on-line or paper reporting.

    7.0 Issuance and Revision History
    9/1/2004 New policy.  

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Last updated August 2, 2012