Texas Dentists for Medicaid Reform

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Latest TDMR Research and Articles

HHSC OIG Orthodontic Consultant Reluctant to “Second Guess” Xerox/Conduent Prior Authorizations

A board certified orthodontist hired by HHSC-OIG was apparently reluctant to "second guess" Xerox/Conduent prior authorization (PA) approvals per a March 2009 email contained as an exhibit in the July 2018 Xerox court filing mentioned in last week's TDMR articles. However, the consultant was not told that TMHP (Texas Medicaid & Healthcare Partnership with Xerox as the lead contractor) was "not routinely looking at cephalometric films with tracings, models and other radiographs..." The email is written by Brian Klozik, the director of Medicaid Provider Integrity for the HHSC Office of … [Read More...]

Court Document Shows Altenhoff and HHSC Knew Xerox Dental “Clerks” Worked at Home and Rubber Stamped Ortho PAs in June 2008

In a court document filed in July 2018 by Xerox/Conduent, an exhibit containing HHSC OIG email correspondence and notes from June 2008 proves that Dr. Linda Altenhoff, the state dental director, knew all about the faulty Xerox/Conduent ortho prior authorization (PA) process which carried on another three years and cost the state hundreds of … [Read More...]

Public Meeting in Austin on Managed Care December 12

The State Medicaid Managed Care Advisory Committee of HHSC is holding a public meeting in Austin on December 12. Here is the information: December 12, 2018 - 1:00pm Health and Human Services Commission, Brown-Heatly Building, Public Hearing Room 4900 North Lamar Blvd. Austin, TX 78751 This meeting will be webcast. To access the … [Read More...]

Dr. Linda Altenhoff: Making Out Like a Bandit at MCNA

In September when TDMR learned that the new Medicaid Dental Services RFP had gone out, we also learned and reported that Dr. Linda Altenhoff, former dental director for the Department of State Health Services and dental director for Texas OIG had become a Vice President of MCNA, one of the current Texas DMOs. HHSC bosses lost jobs A dentist in his … [Read More...]

Questions Linger about Capitation and DMO RFP

We've heard from various dentists that they have questions about controversial issues that have come up over the last several months.  So we assume there are more out there that have the same questions or heard the same rumors. Primarily they are concerned about DMOs moving to a capitation plan as DentaQuest was seeking to do and what is … [Read More...]

Did Texas OAG Forget to Sue Xerox For $133 Million Owed the Feds for Medicaid Orthodontic Prior Authorization Debacle?

It appears that Texas Office of the Attorney General (OAG) forgot to sue Xerox to recover over $133 million that the federal government determined it was owed because of the state’s lack of oversight over Xerox, its then-Medicaid claims administrator, which mishandled the state’s orthodontic prior authorization process from 2008-2011. Revealed … [Read More...]