Latest TDMR Stories
California Approves DentaQuest Despite Problems in Texas and Other States
California has problems. We all know about them. Now, they’ve added DentaQuest as another one for their Medicaid (Medi-Cal) program to the apparent detriment of state dental providers, considering the company’s situation in Texas, Louisiana and other states. This past … Read More
A Medicaid Dentist Asks “Is it Time to Give DentaQuest the Boot?”
TDMR has received a missive from a concerned dentist, which we are publishing. It sums up the frustration and intense concern about DentaQuest’s recent actions in limiting its network, including a threat to remove over 100 urban providers. This prodigious … Read More
Medicaid Dentists Need to Speak Up at HHSC Rate Hearing, November 12
It is a common misconception that your voice does not matter in big government. Unfortunately, it is that misconception that allows big governments to continue in a state of blissful unawareness about the need for change in their policies and … Read More
HHSC Responds to Complaint on Dental Fee Review
In our last article regarding the HHSC Provider Finance department biennial review of Medicaid dental fees, we published a letter sent to HHSC by a dentist to complain about the lack of real increase in rates made. Hot issue We … Read More
HHS Provider Finance Biennial Review of Dental Fees is Disappointing
Texas Health and Human Services Provider Finance quietly posted its much anticipated legislated biennial review of Medicaid dental fees early last week. Well, maybe it was earlier, but it was only noticed early last week. It was found tucked into … Read More
Providers Outraged Over DentaQuest Limiting Its Network
Our story on foreign-owned DentaQuest’s limitations on dental care access for Medicaid children in Texas has sparked outrage among dental providers, leading to an outpouring of angry comments. Many practitioners shared their frustrations and experiences, highlighting how the restrictive policies … Read More
Foreign-Owned DentaQuest Limits Access to Dental Care for 79% of Medicaid Children in Texas
In a stunning move last week, DMO DentaQuest sent out a letter (copy below) to its Medicaid provider network that as of October 15, it would “be limiting the number of additional” general and pediatric dentists into its network in … Read More
Florida Boosts Medicaid Dental Rates as of October 1
The Sunshine State now joins the growing list of states that have recently increased dental Medicaid rates. Florida’s commitment to “live healthy” for its citizens On October 1, several health care bills came into effect in Flordia called the ‘Live … Read More
Despite warnings, Texas rushed to remove millions from Medicaid. Eligible residents lost care.
REPUBLISHED FROM THE TEXAS TRIBUNE Texas officials acknowledged some errors after they stripped Medicaid coverage from more than 2 million people, most of them children. A ProPublica and Texas Tribune review of records shows that these mistakes and others were … Read More
GOOD NEWS! Texas HHS Acts on Complaints & Pressures DentaQuest to Relent on Two Surface Filling Payments
TDMR is pleased to announce that we received confirmation today from Texas Health and Human Services that, as of yesterday, DentaQuest is no longer paying a one-surface fee for non-interproximal two-surface fillings and will be reprocessing previously denied claims. Win … Read More
Louisiana Legislators Go After DentaQuest and Defer Contract Extension
It’s a bad week for DentaQuest. Yesterday, according to an article in the online publication The Center Square, Louisiana legislators ripped into DentaQuest at a hearing of the House Joint Budget Committee as the Louisiana Department of Health had recommended … Read More
DentaQuest Stops Paying for Some Two Surface Fillings in Texas
Remember we wrote that Texas should beware of DentaQuest and its corporate behavior, which cost the company $11 million in fines in Louisiana for Medicaid contract violations, which was recently cited in a report by the Louisiana Legislative Auditor’s office. … Read More
Texas Struggles with the Lowest Per Capita Number of Dental Hygienists in the Nation
A recent article published by Becker’s Dental Review using Department of Labor statistics revealed that Texas ranks at the bottom when it comes to the number of dental hygienists per capita in the country. New Hampshire ranks number one with … Read More
Texas Beware: Louisiana Punishes DentaQuest $11 Million for Medicaid Contract Violations
In July, the Louisiana Legislative Auditor’s office published a scathing audit review of DentaQuest’s performance as one of the two dental maintenance organizations with Louisiana Medicaid. It fined the company for its poor performance. FYI, Louisiana calls them dental benefit … Read More
Judge Rules Thousands Illegally Booted off Tennessee Medicaid by Deloitte System Similar to Texas
This week, a federal judge in Tennessee found that an algorithmic system similar to the one in Texas and designed by the same company illegally denied Medicaid benefits to thousands of Medicaid-eligible individuals. The TennCare Connect system, developed by Deloitte, … Read More
ACS/Xerox/Conduent Can’t Escape Damages Lawsuit Brought by Texas Dentists Over Improper Ortho Prior Authorizations
Justice for Medicaid dentists and orthodontists, whose lives, reputations, and practices were ruined in the great Texas Ortho Debacle, appears to be coming—slowly, but surely. Legal losses continue to mount for Conduent State Healthcare LLC, spun off from Xerox in … Read More