# 1 Tex. Admin. Code § 371.17: 1 TAC § 371.17. Detection

> Texas · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C371_S371_17

## Section

- **Citation:** 1 Tex. Admin. Code § 371.17
- **Heading:** 1 TAC § 371.17. Detection
- **Jurisdiction:** Texas
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Texas Administrative Code / Title 1 ADMINISTRATION / Part 15 TEXAS HEALTH AND HUMAN SERVICES COMMISSION / Chapter 371 MEDICAID AND OTHER HEALTH AND HUMAN SERVICES FRAUD AND ABUSE PROGRAM INTEGRITY / 1 TAC § 371.17

## Text

The OIG utilizes automation as well as other techniques to
 detect and identify program violations and possible fraud, waste,
 abuse, and overpayments. These automated detection systems are mandated
 by state and federal statutes. One automated system is additionally
 required to utilize neural network and learning technologies. These
 systems detect patterns of inappropriate billing from which an overpayment
 is identified immediately without the need for additional investigation.
 They also detect anomalous billing and service patterns, which then
 require investigation for evidence of program violations.

## Nearby sections

- [1 Tex. Admin. Code § 371.1 1 TAC § 371.1. Definitions](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C371_S371_1.md)
- [1 Tex. Admin. Code § 371.3 1 TAC § 371.3. Purpose and Authority](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C371_S371_3.md)
- [1 Tex. Admin. Code § 371.11 1 TAC § 371.11. Scope](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C371_S371_11.md)
- [1 Tex. Admin. Code § 371.17 1 TAC § 371.17. Detection](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C371_S371_17.md)
- [1 Tex. Admin. Code § 371.23 1 TAC § 371.23. Surety Bond](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C371_S371_23.md)
- [1 Tex. Admin. Code § 371.25 1 TAC § 371.25. Injunction to Prevent Disposing of Assets and Application to Debts](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C371_S371_25.md)
- [1 Tex. Admin. Code § 371.27 1 TAC § 371.27. Prohibition against Solicitation of Medicaid or CHIP Recipients](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C371_S371_27.md)
- [1 Tex. Admin. Code § 371.29 1 TAC § 371.29. Random Prepayment Review](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C371_S371_29.md)
- [1 Tex. Admin. Code § 371.31 1 TAC § 371.31. Federal Felony Match](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C371_S371_31.md)
- [1 Tex. Admin. Code § 371.33 1 TAC § 371.33. On-Site Reviews of Prospective Providers](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C371_S371_33.md)
- [1 Tex. Admin. Code § 371.35 1 TAC § 371.35. Use of Statistical Sampling and Extrapolation](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C371_S371_35.md)
- [1 Tex. Admin. Code § 371.37 1 TAC § 371.37. Audit of Managed Care Organizations](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C371_S371_37.md)

---

Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T1_P15_C371_S371_17. Check the current official text before relying on it. Not legal advice.