Texas Dentists for Medicaid Reform

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Latest TDMR Research and Articles

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

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 Medicaid fraud in Texas.  The release can be read below. No admission of wrongdoing or liability A copy of the settlement agreement linked to by the release (and available below) shows that the state did not get any admission of wrongdoing or even … [Read More...]

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

TDMR has learned that Xerox/Conduent is in talks with the Office of Attorney General to settle the $2 billion Medicaid fraud case against the company, once Texas' Medicaid claims administrator. The amount is calculated to include triple damages and civil penalties for every illegal act performed for almost two hundred thousand alleged illegal … [Read More...]

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

February 25, 2019 - 1:00pmHealth and Human Services Commission, Brown-Heatly Building, Public Hearing Room4900 North Lamar Blvd.Austin, TX 78751 This meeting will be webcast. To access the webcast, go to https://hhs.texas.gov/about-hhs/communications-events/live-archived-meetings the day and time of the meeting. Call to orderRoll callAdoption … [Read More...]

State Board of Dental Examiners Holding Stakeholder Meeting Today in Austin

The TSBDE is holding a public stakeholder meeting this afternoon at the William B. Hobby Building in Austin on a "possible amendment of Board rule 22 TAC §108.14 - Pediatric and Special Needs Case Management; Protective Stabilization." Notice apparently not on website We could not find the notice shown below on the TSBDE website despite looking on … [Read More...]

DentaQuest New Standard of Care Review for Restorations Begins February 1

Dentaquest headquarters in Boston, MA We want to remind Medicaid dentists that DentaQuest is starting a new protocol on February 1 for reviewing restorations done on the same tooth within 36 months.  This includes prior authorization along with other criteria detailed below in a copy of the letter sent out to dentists in December. Codes that are … [Read More...]