News: 07/12/19 - Comment period for the Nursing Home Legislative Rule filed with the West Virginia Secretary of State and open for public comment extended until July 22, 2019. Link to rule located here: http://apps.sos.wv.gov/adlaw/csr/rule.aspx?rule=64-13
Office of Inspector General
Welcome from Interim Inspector General Jolynn Marra
Thank you for visiting our web page. The Office of Inspector General works to combat and eliminate fraud, waste and abuse at DHHR - from both within and outside the Department. We have a statewide team of investigators, reviewers, surveyors, and hearing officers who work tirelessly to ensure the Office of Inspector General succeeds in protecting vulnerable residents as well as the integrity of Department programs and services.
If you see or suspect any activity involving fraud, waste or abuse of the Department's programs, please contact us by phone, email, or through the links on this page.
Offices within the Office of Inspector General
The Office of Inspector General (OIG) provides autonomous, independent and neutral oversight of Department of Health and Human Resources (DHHR) programs and operations through seven distinct offices.
The mission of the Board of Review (BOR) is to preserve the integrity of Department programs by providing due process to appellants through impartial hearings and timely decisions.
The Investigations and Fraud Management (IFM) unit has the responsibility for conducting investigations of internal matters at the direction of the Inspector General and for conducting investigations of suspected fraud and abuse within the programs the Department administers.
The mission of the Medicaid Fraud Control Unit is to protect West Virginia's vulnerable citizens and the integrity of its health care programs. In fulfillment of that mission, the MFCU investigates allegations of fraud in the Medicaid program and allegations of criminal abuse, neglect, or financial exploitation of residents in health care facilities or board and care homes.
The Office of Health Facility Licensure and Certification (OHFLAC) has the mission to shape healthy environments for clients, patients and residents within health care facilities by promoting the quality services and high standards of care that exist when facilities are in compliance with state licensure rules and federal certification regulations.
The mission of the Olmstead Council is to develop and monitor the implementation of a plan that will promote equal opportunities for people with disabilities to live, learn, work, and participate in the community of their choice through West Virginia’s compliance with Title II of the Americans with Disabilities Act.
The mission of Quality Control (QC) is to assure the integrity of departmental programs through impartial evaluation of program benefit determinations.
Establishes efficient, effective, and economical procedures for conducting background checks on all prospective direct patient access employees of long-term care facilities and providers.