Our article earlier this month, DMO Credentialing Practices Continue to Burn Dental Providers, on the continuing problems with DMO credentialing drew a quick response from several frustrated Texas dentists — and the stories are all too familiar. “What a mess, … Read More

TDMR took a look at the most recent enrollment figures for Texas Medicaid on the HHSC website.  HHSC used to keep this up pretty well, but for some reason, the latest data is from July 2025. What we discovered was … Read More

MassHealth posted a notice on its website on October 1 that it will be “transitioning back to DentaQuest in early 2026. BeneCare will continue to provide services as our Dental TPA through the transition period. MassHealth is committed to processing … Read More

Back in early 2023, TDMR reported on the credentialing mess involving TMHP, UnitedHealthcare Dental, MCNA, and DentaQuest. We wrote the following articles, including filing a complaint with OIG on the continuing debacle. Credentialing Still a Disaster for Texas Medicaid Dentists … Read More

A federal judge in Chicago on Monday denied class certification to dentists in the long-running antitrust case against Delta Dental, which sought damages estimated to be worth $13 billion. The suit accused Delta Dental Plans Association and its affiliates of … Read More

Last Thursday, TMHP posted the revised Medicaid dental fee rates on its website.  Finally. We were continuously told that the DMOs had updated their fee schedules, but nothing had been posted on TMHP, which is where they were supposed to … Read More

We’ve watched. We’ve waited. We’ve inquired numerous times to see when and if the Medicaid dental fee schedule would be modified as a result of the July 22 public hearing. Notification supposed to have been posted Last Friday, around 1 … Read More

TDMR has been in contact with HHSC Provider Services over the last week to find out when or even if there would be any revisions to the Medicaid dental fee schedule before the September 1 implementation deadline, as stated at … Read More

At the end of July, WalletHub released a report on the “Best & Worst States for Health Care (2025).”  WalletHub is a personal finance website and mobile app that provides users with tools and resources to manage their credit and … Read More

As we reported in our last story about the fee schedule, Texas Health and Human Services Commission (HHSC) Provider Finance was holding a public hearing to receive comments on the proposed Medicaid reimbursement rate changes, including the long-awaited dental rate … Read More

The Kansas legislature recently took a major step forward to improve Medicaid dental care by approving a major increase in its Medicaid dental fee schedule.  The increase became effective July 1. Fees increased up to 50% Fees for exams are … Read More

The Health and Human Services Commission (HHSC) has released the revised schedule of Medicaid dental fees as a result of the state budget amendments as follows: Rider 24 directs HHSC to increase reimbursement rates for maternal fetal medicine radiological services … Read More

The state budget signed by Gov. Abbott on Sunday includes a provision approved by the Texas legislature that adjusts Medicaid dental reimbursement rates for a selected group of procedure codes, which will greatly benefit dental providers.  According to the TDA, … Read More

After 18 years of no increases in Medicaid dental fees, Arkansas has taken meaningful legislative action to increase Medicaid dental reimbursement rates — a move that providers and advocates have long awaited. Fee increase now law Signed into law on … Read More

Governor Greg Abbott reappointed Raymond Charles “Ray” Winter as the Inspector General for Health and Human Services for a term set to expire on February 1, 2026. Raymond Charles “Ray” Winter of Austin is the Inspector General for Health and … Read More