The following is a press release from the Office of the Governor. ————————————- Governor Greg Abbott today sent a letter directing the Texas Health and Human Services (HHS) Office of Inspector General and the Texas Health and Human Services Commission (HHSC) … Read More
A new federal class action lawsuit alleges that Delta Dental Plans Association and more than 40 affiliated Delta Dental entities systematically mislead insured patients regarding the extent of coverage for out-of-network dental care. The lawsuit was filed in the U.S. … Read More
TDMR has received and confirmed a new complaint about DentaQuest regarding the DMO’s handling of primary tooth extractions. The issue has now been independently verified by three additional dental offices, indicating it is not an isolated incident but a recurring … Read More
Texas Health and Human Services has sent notifications that it is now accepting applications to serve on the State Medicaid Managed Care Advisory Committee for a two-year term. The first line says it all. “If you’re interested in issues related … Read More
Stephanie Muth, the former commissioner of the Texas Department of Family and Protective Services, has been named Texas’ next health commissioner. Her first day will be on Jan. 3. On Wednesday, Gov. Greg Abbott announced that he has appointed Muth … Read More
We have received numerous emails asking, “What can we do about DentaQuest’s [name your problem]?” Beyond quitting, we need a new adage. Yes, “the squeaky wheel gets the grease,” but a broken wheel needs more than grease because DentaQuest is … Read More
Sun Life, the Canadian parent company of DentaQuest, has reported a $64 million drop in income for its U.S. dental and group benefits segment. Their explanation for the dental drop? Americans use too much dental care. Yep. On the Q3 … Read More
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
