Court: State wrongly withholding millions from dentists – Houston Chronicle

AUSTIN – Texas officials have been illegally withholding millions of dollars from dozens of dentists and orthodontists based on only the suspicion of minor wrongdoing, an appeals court ruled Tuesday, dealing another blow to the state’s beleaguered unit charged with rooting out Medicaid fraud and abuse.

The 3rd District Texas Court of Appeals ruled the state only can withhold payments for Medicaid services when there is credible evidence that a provider willfully committed fraud, not just an indication that some overbilling took place.

via Court: State wrongly withholding millions from dentists – Houston Chronicle.

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