An excellent, two minute primer and explanation of the Texas Medicaid orthodontic debacle. A must-see for quick background information on the history of what has been going on.


LATEST NEWS!

Xerox Denies Lawsuit Claims of State and Dentists…

Court of Law

Last week Xerox filed a response to both the lawsuit filed by the State of Texas and its dentist intervenors about Xerox's allegedly deficient Medicaid orthodontic prior authorization process that led to $1.1 billion in program spending without proper review. Xerox issued a general denial of all claims, stating: Subject to stipulations or admissions that may hereafter be made, Xerox enters its general denial, pursuant to Rule 92 of the Texas Rules of Civil Procedure, thereby denying each and every, all and singular, of the material allegations made by Plaintiffs, and Xerox requests that the State be required to prove all charges and allegations by the applicable standard of proof required by the laws of the State of Texas. The filings can be downloaded here: Xerox's Original Answer … Read More...

Star of Texas with the State Capitol Building at Night

TDMR Requests Public Hearing on HHSC-OIG Compliance with Due Process…

Letters to both Rep. Richard Peña Raymond and Rep. Lois Kolkhorst, chairmen of the House Human Services and Public Health Committees respectively, have been sent from TDMR President Greg Ewing requesting a public hearing on SB1803 and HHSC's compliance to the legislation. SB 1803 went into force September 1st last year and is supposed to provide  due process rights for Medicaid providers who … [Read More...]

new york

Competitors in New York Protest Awarding of $550M Medicaid Contract to…

Back in May, shortly after Texas filed suit against Xerox and removed the company as the lead contractor in the Texas Medicaid and Healthcare Partnership for its failure to properly handle Medicaid orthodontic prior authorizations leading to $1.1 billion in program expenditures, the State of New York awarded Xerox a $550 million dollar contract to build a new Medicaid management system for the … [Read More...]

justice for texas medicaid providers

Lawsuit Alleges Xerox Wrote Misleading Documents on Ortho Prior…

As part of the lawsuit against Xerox, the former lead contractor for the Texas Medicaid and Healthcare Partnership, the Texas Office of the Attorney General alleges that Xerox, from the beginning of its contract with Texas, wrote misleading documents that indicated each request for Medicaid orthodontic treatment was submitted to and reviewed by its dental director when this was not the … [Read More...]

ACS Xerox

State Alleges Xerox Instructed Dental Staff to…

In the lawsuit against Xerox filed by the Texas Attorney … Read More...

THHSC building

Dentists Told in 2009 to “Assume”…

Back in January 2009, a Medicaid Orthodontic Stakeholder … Read More...

fraud

Xerox/TMHP “Dental Specialists”…

Apparently TMHP/Xerox "dental specialists" were only trained … Read More...

Texas Medicaid fraud

Xerox Ortho Staff Worked from Home, Didn’t…

As reported in May, the Office of the Attorney General of … Read More...

whistleblower wrongful dismissal

Former HHSC OIG Deputy Counsel Reported Internal…

Michael McMillen, former Deputy Chief Counsel, Texas Health … Read More...

THHSC building

Kyle Janek Rules – “Dentists Found…

On May 7th,  Dr. Kyle Janek, the Executive Commissioner of … Read More...

budget

HHSC Collecting SOAH Medicaid Provider Hearing…

As was reported in the Austin American Statesman back on May … Read More...

ACS Xerox

Xerox Awarded $500 Million Medicaid Deal in NY…

Xerox Corp at the end of May was awarded a $500 million … Read More...

consulting report

HHSC Releases Deloitte Report “State of…

Wednesday, TDMR received a notice that HHSC had put online a … Read More...

US Capitol in Washington

HHSC/TMHP Comes Up Short $15 million on HHS Texas…

Yesterday, HHS-OIG issued an audit entitled "Acute-Care … Read More...