Shamrock Psychiatric Clinic, P.A. v. Tex. Dep't of Health & Human Servs.

The ultimate issue in this governmental-immunity case is whether Shamrock Psychiatric Clinic, P.A., a Medicaid provider, is entitled to a contested-case hearing on the merits of the State's claim to recoup alleged overpayments. We hold that it is.

The Texas Health and Human Services Commission administers the Texas Medicaid Program. See TEX. GOV'T CODE § 531.021(a).1 Through its Office of Inspector General, the Commission is responsible for investigating violations of and enforcing state laws related to the Medicaid program. Id. § 531.102(a). The statute authorizes the Inspector General to…