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What Happened at the Edinburg Medicaid Managed Care Townhall Meeting in May

Back on May 19, Sen. Chuy Hinojosa and Rep. Richard Peña Raymond hosted a town hall meeting for providers on Medicaid managed care in Edinburg at the Edinburg Conference Center at Renaissance. It has taken a while but here are some collected observations about what occurred at the meeting. Well attended but geared more for medical providers First of all, the meeting was well attended.  So much so that the meeting moved from a large conference room to the auditorium at the conference center.  It is estimated about 200 providers attended. While the attendance generally was good, the number of dentists who attended was small.  Apparently, only four or five were there including Dr. Joey Cazares of McAllen Dental Associates and president-elect of the Texas Dental Association, Dr. … Read More...

Video of Texas State Board of Dental Examiners Public Hearing Available

Sunset Commission Hearing

On Thursday, June 23, the Texas Sunset Advisory Commission held its mandated public hearings on state agencies under review this legislative session. Four hours of testimony Over the 12 hours of testimony were given before the Commission on that date with four of those relating to the State Board of Dental Examiners. The staff of the Commission had already submitted a scathing review of the … [Read More...]

Dentists in Texas Participating in Medicaid Increasing, Number of Orthodontists Decreasing

Texas Dentists for Medicaid Reform

Recently, TDMR filed an open records request with the Texas Health and Human Services Commission to find out how many individual Texas dentists are currently participating in Medicaid and how those participation numbers have changed since the Frew settlement in 2007. Overall participation up by 223% The results are now in - the total number of dentists providing Medicaid services has … [Read More...]

Sunset Review Public Hearing on State Board of Dental Examiners Next Week

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Those that want to make their views known about the current state of the Texas State Board of Dental Examiners can testify in Austin next week before the Sunset Advisory Commission.  The staff report from the Commission is highly critical of the board's operation - see our previous story on this from April. The public hearing is taking place on Thursday, June 23, starting at 9:00 am in Capitol … [Read More...]

Texas Ranger Investigation into Trueblood Settlement Still Open After Nearly Two Years

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You might remember the case of Austin dentist, Dr. Rachel Trueblood. $16 million overpayment demand settled for $39,000 Back in 2014, Dr. Trueblood had been accused of Medicaid fraud, placed on "credible allegations of fraud" payment hold which closed her dental clinics in Austin and was being demanded to pay back to the then-Health and Human Services Commission Office of Inspector General … [Read More...]

Medicaid-Provider Dentist to Head Texas Dental Association Next Year

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McAllen dentist Dr. Jose “Joey” Cazares has been elected by members of the Texas Dental Association’s House of Delegates to be the 2016-2017 President-Elect of the Association, and will automatically ascend to the Presidency in 2017-2018.  Dr. Cazares will be the first president of the TDA to be elected from the Rio Grande Valley District Dental Society. Dr. Cazares is well-known in the RGV and … [Read More...]

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HLD Scoring Sheet Would Have Been Eliminated by 2009 Medicaid Orthodontic Benefit Policy Revision

The policy revision to the Medicaid orthodontic benefit process contemplated by representatives of the Texas Medicaid and Healthcare Partnership and the Health and Human Services Commission in 2009 … Read More...

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TMHP/Xerox: Board Certified Orthodontist Review of Medicaid Ortho Prior Authorizations Too Costly

The Health and Human Services Commission in February 2009 asked the individuals working on the new Medicaid orthodontic benefit policy to review whether or not a board certified orthodontist should … Read More...

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Document Shows State Knew Details of Xerox Medicaid Orthodontic Prior Authorization Process in 2009

The TMHP document reported about in our last story that was recently appended to a court filing by Xerox shows that staff from the Health and Human Services Commission and its Office of Inspector … Read More...

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Medicaid Dentists Demanded to Know Who Was Reviewing Orthodontic Prior Authorizations in 2007

A new document has come to light out of the lawsuit the state filed in 2014 against Xerox, its former Medicaid claims administrator, that shows Medicaid dentists were concerned as early as 2007 about … Read More...

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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 … Read More...

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

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 … Read More...

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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 … Read More...

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

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 … Read More...

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