Texas Dentists for Medicaid Reform

ADA’s Recommendations for State Dental Managed Care RFPs/Contracts

March 22, 2019

The internet is definitely a wonderful place. Sometimes you come across things that you don't expect or know about. The following document is one of them. We didn't know it existed and it came up on a random Google search. We thought it might be of some interest to Medicaid dental providers as we are still waiting for an announcement of which companies will be awarded the Texas Medicaid dental contract. We are not doing any analysis of the ADA document but simply adding it to the TDMR website as a resource. The document is from 2015. … [Read More...]

Need a Healthcare Attorney? Jack Stick is Available

March 13, 2019

As a Medicaid provider, you can now hire the man that was trying to prosecute you a few years ago. Jack Stick, the disgraced former chief counsel for Texas Health and Human Services and former deputy Inspector General for enforcement, has opened his doors as an attorney to represent healthcare providers who "are being accused of knowingly and … [Read More...]

Texas Health & Human Services Overview

March 8, 2019

We came across this PDF of a presentation recently done for the House County Affairs Committee by Dr. Courtney Phillips, the Executive Commissioner of Texas Health and Human Services. The presentation is an excellent overview of the agency with current statistics and even an organization chart showing who heads what. We should mention that we … [Read More...]

No Penalty or Fine for Xerox Using High School Dropouts to Approve Medicaid Prior Authorizations for Eight Years?

February 22, 2019

The state's $235 million settlement this week with Xerox/Conduent, its former Medicaid claims administrator, unfortunately, leaves unresolved some disturbing questions about how the company could operate its insanely irresponsible orthodontic prior authorization process for so long with state officials either looking the other way or incapable of … [Read More...]

Smelling Like a Rose: Xerox/Conduent Settles Texas for $235 Million, Renews Contract in Indiana for $232 Million

February 22, 2019

Two days after they settled with Texas, Indiana re-awarded a four-year contract for Medicaid services, food assistance and temporary financial assistance for pregnant women and families to Conduent. The company will earn $232 million. Conduent stock also rose sharply after news of the settlement in Texas. It took a one-day … [Read More...]

Whistleblowers File Motion for Their Share of $235 Million Xerox/Conduent Settlement

February 22, 2019

Dr. Christine Ellis testifying in Washington TDMR was informed yesterday that indeed there are qui tam relators associated with the Xerox/Conduent Medicaid fraud settlement and that their lawyers have now filed a motion to obtain their share of the $235 million in proceeds. The relators are Christine Ellis, DDS, Madelayne Castillo, Mary Espinoza, … [Read More...]

Texas Settles with Xerox for $235 Million Out of “Desire to Buy Peace and Avoid Further Litigation”

February 19, 2019

This morning Attorney General Ken Paxton announced that the State of Texas had settled its $2 billion Medicaid fraud lawsuit against Xerox/Conduent, its former Medicaid administrator from 2004 to 2012, for $235 million. The settlement over Xerox/Conduent's inadequate orthodontic prior authorization process was touted as a record recovery for … [Read More...]

Xerox Quality Assurance Checks on Ortho PAs Apparently Consisted of Re-checking the Addition of HLD Score Sheets

February 18, 2019

For those following the $2 billion Medicaid fraud case against Xerox/Conduent here in Texas, another plank in the state's case against the company is that it alleges that no meaningful Quality Assurance check was ever done to ensure medical necessity on some 500,000 orthodontic prior authorizations the company approved from 2004 to 2012. "Can't … [Read More...]

Need a Healthcare Attorney? Jack Stick is Available

Texas Health & Human Services Overview

No Penalty or Fine for Xerox Using High School Dropouts to Approve Medicaid Prior Authorizations for Eight Years?

Smelling Like a Rose: Xerox/Conduent Settles Texas for $235 Million, Renews Contract in Indiana for $232 Million

Whistleblowers File Motion for Their Share of $235 Million Xerox/Conduent Settlement

Latest TDMR Research and Articles

ADA’s Recommendations for State Dental Managed Care RFPs/Contracts

Need a Healthcare Attorney? Jack Stick is Available

Texas Health & Human Services Overview

No Penalty or Fine for Xerox Using High School Dropouts to Approve Medicaid Prior Authorizations for Eight Years?

Smelling Like a Rose: Xerox/Conduent Settles Texas for $235 Million, Renews Contract in Indiana for $232 Million

Whistleblowers File Motion for Their Share of $235 Million Xerox/Conduent Settlement

Texas Settles with Xerox for $235 Million Out of “Desire to Buy Peace and Avoid Further Litigation”

Xerox Quality Assurance Checks on Ortho PAs Apparently Consisted of Re-checking the Addition of HLD Score Sheets

“I approved all of them regardless” – Xerox/Conduent Dental Director on Ortho PAs

Xerox/Conduent Settling Its $2 Billion Dental Medicaid Fraud Case with Texas?

State Medicaid Managed Care Advisory Committee Meeting to be Held February 25

State Board of Dental Examiners Holding Stakeholder Meeting Today in Austin

Dental Managed Care Issues Receive Legislative Attention with Meeting at the Capitol

DentaQuest New Standard of Care Review for Restorations Begins February 1

State Accused of Withholding Documents in $2 Billion Medicaid Fraud Suit Against Xerox/Conduent

Members Sought for State Medicaid Managed Care Advisory Committee

TDMR Six Years Old and Still Going Strong