Integrity One

Integrity One

The TAHC&H Integrity One Program promotes high standards of ethics, integrity, and accountability for the home care and hospice industry through TAHC&H member information, education and participatory programs.   The Integrity One Program includes two sections highlighted by the TAHC&H Member Code of Ethics and the TAHC&H Anti-Referral and Anti-Kickback Laws Guide for Home Health Agencies and Hospices Operating in Texas.  Additional information and reporting resources on how to maintain accountability and avoid fraud and abuse issues in services and operations are also listed below.

Licensed Home and Community Support Services agencies are encouraged to become familiar with these information and reporting resources. 

Information Resources

False Claims Act Information (Medicare and Medicaid)

Texas FCA Damages and Penalties

Medicaid Program Integrity Education

OIG Medicare Home Health Agency Compliance Plan Guidance

OIG Advisory Opinions Related to Home Care and Hospice

Advisory Opinion No. 06-01 (regarding a home health agency’s practice of providing prospective customers with a free preoperative home safety assessment)

Advisory Opinion No. 07-08 (regarding concerning a durable medical equipment supplier’s proposed arrangement to provide patients with a free in-home congestive heart failure assessment)

Advisory Opinion No. 03-4 (regarding a proposed program by a provider of home health care services to provide free medical-alert pagers and pager monitoring service to homebound patients during the period such patients are receiving the company's home health services)

Advisory Opinion No. 01-20 (regarding a payment arrangement between a Medicare-certified hospice and certain nursing facilities for services provided to residents of such facilities who are eligible both for Medicaid and Medicare hospice benefits ["Dually Eligibles"])

OIG Criminal Intervention Cases and Judgments- Federal Enforcement Actions

Reporting Resources

Medicare Fraud and Abuse Investigation Contractor: Health Integrity

Detection/Tips to Identify Medicare Fraud

How to Report Fraud and Abuse

Federal - Medicare

State - Medicaid

Programs Provider Exclusions List:

Federal

State