TDMR received this letter highlighting the difficulty Medicaid dental providers are having in today’s current economic climate and the need for the legislature this session to take corrective action. We publish it in hopes that it will reach open and … Read More

Becker’s Dental & DSO Review published a list of things about dental care in Texas a while ago. Some of them are not very flattering to this great state. Many underserved areas While Texas has the second most number of … Read More

Texas Health and Human Services is looking for a dental policy analyst for its HHSC Medical and Dental Benefits Program.  As they say, “If you enjoy researching, writing policy and remaining current with dental practices, and are interested in being … Read More

This case has finally come to an end. The Court of Appeals, Eighty District in El Paso, on October 14 confirmed the May 2020 lower court summary judgment award obtained by the state against Dr. Richard Malouf for violations of … Read More

A striking aspect of Medicaid fraud news is that it took so long for public officials to figure out that private companies have a profit motive.  Also notable is that Managed Care Organizations (MCO) are not only lax in addressing … Read More

State Medicaid Director Stephanie Stephens, in a speech given on September 27 at the 2022 North Texas State of Reform Health Policy Conference, stated that an HHS priority for the upcoming legislative budget is Medicaid provider rates. Provider fees a … Read More

The American Dental Association recently held a webinar in which members of a key study about Medicaid dental practitioners provided details of their findings. Estimate drops by 11% The main takeaway is that the ADA has now readjusted downward from … Read More

TDMR received an email from Texas Health and Human Services this week requesting everyone’s help to come up with ideas to save some dough.  Apparently, the Texas Legislature directed HHS to figure out how to save $350 million for the … Read More

OIG recently published the following article on its website which we thought to republish here along with the PDF documents linked to in the article. Texas providers encouraged to self-report overpayments Providers continue to participate in the OIG’s self-report process, … Read More

According to a recent report entitled “Access to Oral Health Workforce Report, Part I” by the Pennsylvania Coalition for Oral Health, the state lost 13.5% of its dentists participating in its Medicaid program between the beginning of 2019 and the … Read More

Ensuring Texas Medicaid dollars are spent for their intended purpose requires the Texas Health and Human Services (HHS) Office of Inspector General (OIG) to work with health care professionals to prevent fraud, waste and abuse. Accurate medical and dental coding … Read More

The recent business headlines about Sun Life, the Canadian insurer that purchased DentaQuest earlier this year, and its Q2 financial results are quite bipolar – either dismal or glowing. Good Q2 or not for DentaQuest purchaser Several publications spotlight the … Read More

The American Dental Association has reported that dental services increased 1.9% in June, the highest single-month rise ever recorded since the Department of Labor started keeping track in 1995. Job Market Increases The increase is attributable in part, according to … Read More

The American Dental Association reports that 14 state legislatures have passed progressive legislation regarding Medicaid dental care this year, partly due to increased budget surpluses in those states. Connecticut, Georgia, Illinois, Maryland, Mississippi, Missouri, Nebraska, South Dakota, Tennessee, Vermont, and … Read More

Thanks to the excessive prices for oil products due to the attempted embargo of Russian oil to punish the country for its war on Ukraine, the Texas state budget will benefit to the tune of some $27 billion, according to … Read More