DALLAS (CN) – A healthcare administrator delayed thousands of orthodontic approvals under Medicaid by employing just one dentist to review Texas applications, such disastrous understaffing that dentists – but not the private company – were accused of fraud for working without prior authorization, seven dentists claim in court.
The lawsuit from Dr. Paul Dunn, DDS, is typical of the seven dentists’ complaints, all filed in Travis County Court.
The dentists claim that ACS State Healthcare committed thousands of dental practice violations by having unlicensed “dental specialists” give prior authorizations for orthodontic procedures rather than dentists.
ACS employed just one licensed dentist to evaluate requested orthodontic services for Medicaid to cover in Texas, Dunn claims.
ACS and the Texas Medicaid Healthcare Partnership are dbas for Xerox State Healthcare LLC, a Delaware corporation.