Dr. Richard Lange, the president of Texas Tech, told ABC-7 in an exclusive sit-down interview that the university has hired one of the dental school’s first faculty members: Dr. Richard Black, a local dentist with an extensive resume of serving … Read More
The Alaska Department of Health and Social Services has settled its complaints with Xerox over management of Medicaid claims, resetting its health-care contract with the business giant for an agreed-upon series of performance standards.The state’s claim against Xerox State Healthcare … Read More
The president of the Kansas Dental Association said he has stopped taking patients from two of the state’s three KanCare insurance companies because of a 4 percent Medicaid reimbursement cut initiated by Gov. Sam Brownback’s administration. John Fales, a pediatric … Read More
In a quick action on Monday, the three counts of alleged Medicaid fraud against the former owner of Bluegrass Autism in Danville were dismissed amid allegations of misconduct by an attorney general’s office investigator. Judge Darren Peckler granted the request … Read More
Rick Perry did not survive to dance another day. The former Texas governor was eliminated from the ABC program “Dancing with the Stars” on Tuesday night. Perry and his dancing partner, Emma Slater, faced elimination at the hand of on-air judges … Read More
A significant cut to the amount of money Texas pays therapists who treat children with disabilities was finally cleared to take effect — more than one year after state lawmakers originally ordered it — when the Texas Supreme Court on … Read More
One takeaway after several weeks of listening to people with their thumb on the pulse of health care policy issues in Texas is Medicaid expansion might well be dead on arrival before the 2017 legislative session begins in Austin.A number … Read More
AUSTIN –The $1.3 billion shortfall in Medicaid funding going into the next budget cycle can’t all be attributed to what Republicans typically call “out-of-control growth.” Source: Lawmakers tackle looming $1.3 billion shortfall in Medicaid – Houston Chronicle
After almost 16 years working for the Texas Medical Board, Mari Robinson announced Wednesday that she is stepping down as executive director in mid-October to accept a new position as the director of telehealth at The University of Texas Medical … Read More
He’s hardly the judges’ favorite, but former Texas Gov. Rick Perry was supported by enough of the viewing audience Tuesday night to survive to perform for another week on ABC’s Dancing with the Stars. The longest-serving governor in Texas history and … Read More
AGENCIES: Office of Inspector General (OIG) and Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Proposed rule. SUMMARY: This proposed rule would amend the regulation governing State Medicaid Fraud Control Units (MFCUs or Units). The proposed rule would incorporate … Read More
The state of West Virginia accused Mylan NV of Medicaid fraud for inflating the price of the EpiPen by 500 percent and has asked the company to turn over documents related to Medicaid reimbursements. Heather Bresch, Mylan’s chief executive officer, … Read More
HHS’ Office of the Inspector General has released its Medicaid Fraud Control report for fiscal year 2015. Below are six findings from OIG’s report: 1. In FY 2015, combined federal and state expenditures for the Medicaid fraud control units totaled … Read More
A few changes are coming soon for Medicaid patients in Missouri after another veto was overturned, this one concerning health. Senate Bill 608 might not have been one of the hot topics during this year’s veto session, but certainly is one that … Read More
As HHS submits its Legislative Appropriations Requests for the next biennium, we are proud to share them with the people of Texas, whom we serve. The HHS system’s budget proposals reflect better integrated operations, a commitment to serving Texans in … Read More
Jessica Stefonik is grinning. She’s got a bounce in her step. Her cheeks are a little puffy and her speech is a bit thick.”It feels weird right now, but I’ll get used to it,” she says.What she’s trying to get … Read More
Millions of Americans endure pain and shame because they can’t afford dental care. The issue is particularly pronounced in rural areas, as emphasized by a recent report by National Public Radio. People in rural areas are not only more likely … Read More
WHY WE DID THIS STUDY The Department of Health and Human Services (HHS) OIG is the designated Federal agency that oversees State Medicaid Fraud Control Units (MFCU or Unit). This MFCU Fiscal Year (FY) 2015 Annual Report highlights statistical achievements … Read More
The chairman of the Texas Senate Health and Human Services Committee and other high-ranking Republicans on Tuesday expressed little interest in expanding publicly funded insurance coverage to low-income Texans, suggesting the issue is unlikely to gain traction when the state … Read More
TYLER, Texas – A 65-year-old Dallas County, Texas, physician, has been resentenced to federal prison for health care fraud and identity theft violations in the Eastern District of Texas, announced U.S. Attorney John M. Bales. In July 2014, Tariq Mahmood, of … Read More
Texas lawmakers on Thursday revisited the fate of a $150 million cut in state funding to Medicaid payments for disabled children’s therapy made in 2015 — though the outcome of that cut remains uncertain as a legal battle over its … Read More
Former Gov. Rick Perry brought some Texas flair to the Season 23 premiere of “Dancing With The Stars,” but his footwork brought few plaudits from the judges. The show partnered Perry, who performed in an floral embroidered Western jacket, with professional dancer Emma Slater … Read More
A federal judge faulted the state Medicaid program in a strongly worded order, ruling the program had improperly denied 2,000 out-of-network emergency claims submitted by a nonprofit health care provider that treated indigent children.U.S. District Judge Keith Ellison ruled last week that the state … Read More
COLUMBUS — A state proposal to require working poor adults on Ohio’s expanded Medicaid rolls to pay more toward their health care or risk losing coverage was rejected Friday by the federal government.The Healthy Ohio Plan would have charged Medicaid … Read More
An Ohio man who is the son of a former Iranian prince and is said to be worth millions of dollars has been living off government assistance for the last two years.Ali Pascal Mahvi lives in an 8,000 square foot … Read More
McALLEN — Two Mission women pleaded guilty in connection with a 12-count indictment accusing them and several others of federal healthcare fraud totaling nearly $5 million, according to court records.Veronica Vela, 42, and Cynthia Lee Zapata, 50, appeared in federal … Read More
Parents with disabled children currently on disability-related Medicaid may be forced to find a new physician before November. STAR kids is a new managed care program serving those who are 20 years old and younger and goes into effect on … Read More
Five years ago, I started researching the delivery of children’s dental care in the growing Medicaid dental space. I discovered a pioneering, cost-effective dental health care solution called “dental support organizations,” or DSOs. Some DSOs help improve access for underserved … Read More
Sept. 7, 2016 /PRNewswire/ — Leveraging its unparalleled expertise and experience working with Medicaid dental programs, management of the Maryland Health Smiles Dental Program (Maryland Healthy Smiles) has been successfully transitioned to Scion Dental, part of the SKYGEN USA family … Read More
HOUSTON (CN) — Texas’s Medicaid reimbursement policy violates federal rules and should be put on hold because it leaves some health care providers “holding the bag,” a federal judge ruled. The Texas Children’s Health Plan denied about 2,000 claims that … Read More
A key domestic policy directive presidential aspirant Donald Trump made to Congress as a way to reform the healthcare system is to “block-grant Medicaid to the states.”The health insurance program for poor Americans, which is funded by a matching formula of state … Read More
Nevada Attorney General Adam Paul Laxalt announced that Mamie Ree Hubbard-Washington, 73, of Las Vegas, was sentenced for Medicaid fraud. The fraud was committed between April and August 2012. Eighth Judicial District Court Judge Michelle Leavitt sentenced Hubbard-Washington to one … Read More
Hospitals in the Dallas-Fort Worth region were overpaid by $27 million in federal funds to provide health care for the uninsured, according to a new order from the Obama administration, which is threatening to take the money back. Federal health … Read More
KIMT News 3 – Gary Holland recently needed some work done on his teeth, but he’s on Medicaid and ran into some problems. “Once you get registered with Medicaid you almost can’t switch doctors and your dentist and I called … Read More
A former Seymour dentist faces felony charges related to an investigation into the false billing of the state’s Medicaid program for dental treatments he allegedly did not perform on patients, a Marion County official reports. Dr. James Judd, 69, has … Read More
A pediatric dental provider with practices in Milford and West Haven will pay more than $1.3 million to the state and federal government to resolve allegations that he submitted false claims to Connecticut’s Medicaid program for x-ray services that did … Read More
May 17, 2016 – A company that manages dental benefits for the state children’s health insurance program is fighting the release of records it says contain “trade secrets.” Managed Care of North America (MCNA) sued the Florida Healthy Kids Corp. after it … Read More
Former Gov. Rick Perry may be taking a break from campaigning to bust a move on the dance floor, following reports from an entertainment website that the politician may be joining the next season of “Dancing With the Stars.” As … Read More
An Idaho 4th District judge has ordered a Florida dental services contractor to disclose nearly 100 pages of material from its successful bid for an Idaho Medicaid contract that the company had claimed was exempt from public disclosure as trade … Read More
When FBI and Health and Human Services investigators announced earlier this summer they had snared more than 300 people trying to bilk Medicare out of $900 million, one might have concluded the corner had been turned in the fight against … Read More
