Texas Dentists for Medicaid Reform

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Latest TDMR Research and Articles

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 affected are D2140, D2150, D2160, D2161, D2330, D2331, D2332, D2335, D2391, D2392, D2393, and D2394. We have already heard concerns about the increased time and difficulty this may cause in treating a patient with an emergency situation with the same … [Read More...]

Members Sought for State Medicaid Managed Care Advisory Committee

Last Friday, HHSC sent out the following notice: If you're interested in Medicaid managed care issues, you might be interested in being a member of the State Medicaid Managed Care Advisory Committee. The Texas Health and Human Services Commission executive commissioner will appoint members to the committee to serve a two-year term or complete … [Read More...]

TDMR Six Years Old and Still Going Strong

As we approach the New Year, we at TDMR have taken a few minutes to contemplate the last few years - six so far.   We had no idea back in 2012 that we would still be going strong today. Come a long way On December 7, 2012, we launched this website and published our first article "Harlingen Family Dentistry Wins Major, Precedent-Setting Decision in … [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...]