Texas Dentists for Medicaid Reform

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Latest TDMR Research and Articles

UPDATE: Dentists Clarified as Healthcare Workers to Receive COVID-19 Vaccines

UPDATE: Two days before we originally published this article on December 18, then entitled "Dentists Not Included as First Tier Healthcare Workers to Receive COVID-19 Vaccines," the American Dental Association sent a letter to the CDC asking the agency to "make it clear that dental personnel, autopsy personnel and laboratory personnel are included in the agency’s recommendation to give healthcare workers priority access to a COVID-19 vaccine." The CDC webpage entitled "The Importance of COVID-19 Vaccination for Healthcare Personnel," updated December 28, clearly states that dentists, dental … [Read More...]

DMOs Find Less than $400,000 in Medicaid Fraud in 2020

Texas HHS-OIG has just published its report for 2020 on Medicaid fraud uncovered and reported by MCOs in Texas. The report shows that DentaQuest and MCNA found only $234,098 and $127,264 in Medicaid fraud, respectively for 2020. According to the report, the "totals reflect overpayments reported as recovered by Special Investigative Units on … [Read More...]

How Many Dentists Have Been Charged With Medicaid Fraud Since 2017 to Now? Zero

TDMR recently reported about an open record request filed with the Office of the Attorney General to find out how many dentists were indicted for Medicaid fraud by the OAG's Medicaid Fraud Control Unit (MFCU), the section of the OAG that investigates criminal fraud, between 2011 and 2016.  These were the years encompassing the great Xerox/Conduent … [Read More...]

Whistleblower Has Outstanding Texas Warrants Since 2017

More details have emerged about Joshua Lafountain, the relator in a Texas Medicaid Fraud Prevention Act qui tam lawsuit filed against 71 dental organizations and dentists in 2016. The case is now before a judge in Dallas County District Court.  Allegations fuel case but no evidence As TDMR previously reported, Lafountain, in a deposition … [Read More...]

Despite Claims of $100s of Millions in Dental Medicaid Fraud, Only 5 Texas Dentists Indicted Between 2011 and 2016

TDMR recently received information from an open records request to the Texas Medicaid Fraud Control Unit of the Office of the Attorney General.  The request asked for a list of investigations conducted by MFCU on dentists between 2011 and 2016 when dentists and orthodontists were accused of hundreds of millions of dollars of Medicaid fraud over the … [Read More...]

Latest OIG Quarterly Report

Is it us or does Medicaid dentistry seem to get more attention in these reports than other specialties? Are we being sensitive? We couldn't help but … [Read More...]

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