Texas Dentists for Medicaid Reform

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Latest TDMR Research and Articles

Bill Introduced to Include MCO/DMOs in Medicaid Fraud Investigations by HHSC-OIG

Bill filing has started for the upcoming legislative session at the Texas Capitol. One of the early filings is HB 648, a bill introduced by House Rep. Richard Peña Raymond of Laredo to modify the mandate of the HHSC Office of Inspector General to include MCO/DMOs as targets for Medicaid fraud investigations.  Currently, Section 531.102 of the Government Code only mandates that the agency investigate allegations of Medicaid fraud by providers and recipients. Cases of suspected MCO/DMO fraud For example, section (f) (2) (A) would be updated to read "if a provider or Medicaid managed … [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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