Texas Dentists for Medicaid Reform

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Latest TDMR Research and Articles

DMOs Using Gift Cards to Attract New Members But It’s Illegal For Dental Providers

Remember back in 2012 when the media and the state were outraged by dentists giving out gift cards or other small inducements to have Medicaid children get under care? In case you don't, here are links to some media articles of the time. Outrage in 2012 over gift cards Texas Tribune: State Tackles Concerns in Medicaid Dental System State officials, dentists and other providers met Friday on how to treat orthodontic transfer patients, why some corporate clinics are allowed to use gift cards and pizza to lure new patients and other technicalities related to the transition to Medicaid managed … [Read More...]

ADSO Response to TDMR DMO 2020 Survey

TDMR took the opportunity to send a few questions to the new president of the Association of Dental Service Organizations (ADSO) Emmet Scott about the results of our latest DMO survey. We received back the following thoughtful responses and hope they provide an opening for discussion for positive changes for Medicaid dentists. … [Read More...]

2020 TDMR DMO Survey Results: Improvement, Skepticism About A Third Company

We are pleased to make public the results of our Texas Medicaid Dental Maintenance Organization Annual Survey 2020. This year 90 dentists took the opportunity to give us their views on the performance of MCNA and DentaQuest. Last year we had 98. It appears that there continues to be some shyness among providers to take part in our survey … [Read More...]

Final Judgment in Malouf Case – $16.5 million

Attorney General Ken Paxton's office yesterday sent out a press release announcing a final judgment in the civil Medicaid fraud case against Dr. Richard Malouf. Here is the text of the release: AUSTIN – Attorney General Ken Paxton today announced that the 126th Judicial District Court of Travis County ordered final judgment against Dr. … [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 be struck by the fact that again complaints against Medicaid dentists make up only 6% of the complaints received by OIG, yet Medicaid Provider Integrity investigations into dentists make up 16% of all … [Read More...]

DentaQuest Dinged $1.5 Million by OIG

Texas HHS-OIG published on their website June 24 an audit they completed on DentaQuest back on January 9.  The audit found that DentaQuest had $1.53 million in "unallowable, unsupported, and overstated expenses on its Administrative Expenses FSR [Financial Statistical Report]" which allowed DentaQuest to reduce the initial experience rebate … [Read More...]

Cecile Young to lead Texas Health and Human Services Commission

Cecile Young has been named the new head of the Texas Health and Human Services Commission as the agency fights an ever-growing number of coronavirus cases in the state. Young, who has more than three decades of experience working in state government, including several top roles at HHSC, will take the helm of an agency of nearly 37,000 employees … [Read More...]

Law Firm Representing Qui Tam Relator Sued for Malpractice

At the end of April, a three-judge panel of the Fifth District Court of Appeals in Dallas ordered a malpractice lawsuit against the firm of Sommerman McCaffity Quesada & Geisler and Al Ellis, of counsel at the firm, to continue. The case against the attorneys had been thrown out last year by a Dallas District Court judge, and the … [Read More...]

TSBDE July Newsletter

TDMR received the Texas State Board of Dental Examiners July PDF newsletter this week.  It contains the rule changes adopted by the board at … [Read More...]

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