A Follow-up Audit Report on the Health and Human Services Commission's Texas Integrated Eligibility Redesign System (TIERS)
October 2008
Report Number 09-005
Overall Conclusion
The Health and Human Services Commission (Commission) has improved the Texas Integrated Eligibility Redesign System (TIERS) since the prior State Auditor's Office audit in October 2007. The Commission is regularly tracking and reporting key metrics on TIERS performance. In addition, the Commission has formed work groups to address problems in TIERS. As a result, some areas have seen improvements, and planning and documentation for capacity and conversion are more thorough. The Commission also has documentation of its regular reviews and discussions of TIERS service requests.
However, the Commission needs to determine the actual costs and actual end date for the statewide implementation of TIERS. Auditors received information from the Commission on September 3, 2008, in which the Commission estimated that it would spend at least $1 billion from the inception of TIERS in 1999 through fiscal year 2011 for TIERS and eligibility supporting technologies. According to the Quality Assurance Team monitoring report, the Commission reported that the $1 billion amount does not include funds necessary to implement TIERS statewide. Additionally, the Commission has not yet determined a projected end date for the completion and statewide implementation of TIERS.
Of 26 recommendations made in An Audit Report on the Health and Human Services Commission's Texas Integrated Eligibility Redesign System (TIERS) (State Auditor's Office Report No. 08-009, October 2007):
- The Commission's implementation of 22 recommendations is in progress.
- The Commission has substantially implemented 3 recommendations.
- The Commission has implemented 1 recommendation.
Contact the SAO about this report.
Download the Acrobat version of this report. (.pdf)
If you prefer an HTML version, follow this link to an Adobe site which converts PDF files to HTML.