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Share Your Experiences About MCNA and Dentaquest at Medicaid Managed Care Town Hall Meeting in Edinburg This Thursday

This coming Thursday, May 19 from 8:30 am to noon, a town hall meeting on Medicaid managed care is being held at the Edinburg Conference Center at Renaissance, 118 Paseo Del Prado, Edinburg,TX. The meeting has been set up to allow Medicaid providers in the Rio Grande Valley to get their views aired regarding the various MCOs. Dental providers have an opportunity to tell the right people what is going on with MCNA and Dentaquest. These include Sen. Juan "Chuy" Hinojosa, Rep. Richard Peña Raymond, current HHSC Executive Commissioner Chris Traylor, his announced replacement Charles Smith and Inspector General Stuart Bowen Jr. If you can make it, take this opportunity to get involved with making Medicaid better.  Get your views known!! The following is the agenda (download PDF … Read More...

A Texas Miracle: HHSC Executive Gets $150,000 for 15 Month Stay-at-Home Vacation

hhsc-building md

The Houston Chronicle reported this morning that Frianita Wilson, the wife of former Health and Human Services Commission Inspector General Doug Wilson and an HHSC executive in her own right, is now back at work at HHSC after being on administrative leave for 15 months in the wake of the 21 CT scandal that helped bring down her husband.   She received full salary during that time, some … [Read More...]

Abbott Appoints Longtime Aide to Lead Health Commission 


Charles Smith, a longtime ally of Gov. Greg Abbott, will be the next executive commissioner of the Texas Health and Human Services Commission, the governor announced Tuesday. Smith, the chief deputy executive commissioner at the massive agency, will start his new position on June 1. "Charles Smith is a proven leader ready for the challenge to take the helm at Texas' Health and Human Services … [Read More...]

Mother Speaks Out About Harm to Her Children from Medicaid Ortho Debacle

ortho case

Earlier this week, TDMR received an email from a mother who had her sons under Medicaid orthodontic treatment back in 2011 and 2012 and is still very upset at the both the state handling of the matter and the lack of concern by MCNA for her sons' continued treatment.  Since 2012, she has been trying without success to get treatment continued for both sons, one with a Class I malocclusion with a … [Read More...]

Jailed Texas Orthodontist to Get Hearing on Lawyer’s Fraud

Court of Law

Dr. Michael Goodwin of Amarillo pleaded guilty to one charge of health care fraud back in 2012 relating to the investigation into allegations of statewide Medicaid orthodontic billing fraud. Goodwin is the only dentist out of that morass to so far be criminally prosecuted and receive a jail sentence. He is in the midst of serving a four-year term in Indiana. Goodwin is now asking for his … [Read More...]

The Inspector General Integrity Initiative Introduced for Medicaid Providers

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Health and Human Services Commission Inspector General Stuart Bowen Jr. announced  in his quarterly report a new initiative to help combat Medicaid fraud and also help Medicaid providers. This is the IG Integrity Initiative.  It was formally rolled out on April 21 before the Senate Committee on Health and Human Services. Based upon community policing model The rationale for the initiative … [Read More...]

Inspector General Stuart Bowen Jr.

IG Quarterly Report: Good News Except Medicaid Self-Reporting Leads to Further OIG Investigation

This morning Health and Human Services Commission Inspector General Stuart Bowen Jr. issued his latest quarterly report on OIG activities and results.  Bowen has ushered in a new era of transparency … Read More...


If State Officials Were Medicaid Providers, Then We’d See Action, Not Hypocrisy

The investigative digging of the Texas media into the operations of state government has once again revealed to the public, otherwise blissfully ignorant, the tremendous apparent hypocrisy of several … Read More...

Christine Ellis testifying in Washington

Federal Court Decision Makes False Claims Act Suits Against Medicaid Dentists Problematic

Since 2012, there have been a large number of outstanding but here-to-date sealed False Claims Act lawsuits against Texas dentists who billed Medicaid for orthodontic treatment from 2007 to … Read More...

State Board of Dental Examiners Staff Report

Sunset Commission Releases Report Critical of State Board of Dental Examiners

The Sunset Advisory Commission today released its staff report on their observations and recommendations relating to the State Board of Dental Examiners. Basically, they found it had too many board … Read More...

court of appeals decision

Dentists Vindicated Again By Court of Appeals and Awarded Court Costs But Will the Madness End?

Today the Sixth Court of Appeals issued their decision in the Medicaid payment hold case of Antoine Dental Center of Houston.  The court again exonerated the practice from allegations of Medicaid … Read More...

Dental care for kids who need it

Perry’s Lobbying for MCNA Effective as Florida Gov. Signs Law to Change Dental Medicaid in State

Gov. Rick Scott of Florida has signed into law changes that bring back DMOs such as MCNA and Dentaquest into Florida's dental Medicaid program if all goes well. Florida governor signs new bill … Read More...


Governor Abbott Names Chair And Appoints Six To State Board Of Dental Examiners

Governor Greg Abbott has named Steve Austin chair of the State Board of Dental Examiners. The governor has also appointed Diane Garza for a term set to expire February 1, 2017, appointed Bryan … Read More...


Feds Move to Protect Due Process Rights for Medicaid Providers

Four federal lawmakers from New Mexico - Sen. Martin Heinrich, Sen. Tom Udall, Rep. Ben Ray Luján and Rep. Michelle Lujan Grisham - filed a bill last week to guarantee due process rights to Medicaid … Read More...


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