Medicaid Reform News

We’ve heard from various dentists that they have questions about controversial issues that have come up over the last several months.  So we assume there are more out there that have the same questions or heard the same rumors. Primarily … Read More

It appears that Texas Office of the Attorney General (OAG) forgot to sue Xerox to recover over $133 million that the federal government determined it was owed because of the state’s lack of oversight over Xerox, its then-Medicaid claims administrator, … Read More

UPDATE:  TDMR has received a copy of the ImmediaDent and Samson Partners press statement from Samson Partners vice-president of marketing Stephen Valenti.  It is at the bottom of our story in full. Indiana-based ImmediaDent and DSO Samson Dental Partners of … Read More

UPDATE: We’ve added below an additional HHSC presentation given to the House Committee on General Investigating & Ethics which gives further details of MCO contract management. This morning HHSC sent out a notice that it was looking for public comments … Read More

The Texas State Board of Dental Examiners will be holding a stakeholders meeting in Austin on November 20.  It will be held at the William P. Hobby Jr. State Office Building, Tower III, Room 100, 333 Guadalupe Street at 1:30 … Read More

Reported in a shocking report released this week, the Office of Inspector General for the U.S. Department of Health found that the Ohio Department of Medicaid made $90.5 million in capitation payments to managed care organizations in the state on … Read More

UPDATE: Christine Mann, the Press Officer at HHSC, has informed us that new RFP is out as of yesterday.  The information is below and is available at http://www.txsmartbuy.com/sp/HHS0002879 Medicaid CHIP Dental Status: Addendum Posted Solicitation ID:   HHS0002879 Response Due Date: 11/30/2018 Response Due Time: 2:00 PM Agency … Read More

Texas Health and Human Services as a government body develops “rules” to implement laws passed by state and federal legislators.   Their website states that “to be good stewards of the public trust, HHS takes into account stakeholder input when rules are … Read More

Back in August, a notice appeared on the TMHP website that Texas Medicaid was going to impose a lifetime limit for restorations and stainless steel crowns on September 1. Lifetime limits The notice said: Effective for dates of service on or … Read More

In the last edition of TDA Today, the Texas Dental Association goes to bat for dental Medicaid providers on two issues. First, the publication reported that the TDA’s Council on Public Health and Access to Care met with HHSC (HHSC, … Read More

The Statesman published an article this morning about the scathing testimony heard by the House Committee on Human Services, chaired by Rep. Richard Peña Raymond, at a special hearing held yesterday in Edinburg. Wanted public and provider feedback on managed … Read More

You just found out about this? So did we. Just learned of it TDMR learned of it about 10 days ago when a provider gave us a copy of a letter they received from DentaQuest dated July 27 but received … Read More

By Marissa Evans, The Texas Tribune Aug. 23, 2018 Courtney Phillips is the new executive commissioner for the Texas Health and Human Services Commission, Gov. Greg Abbott announced Thursday. Phillips is currently the chief executive officer for the Nebraska Department … Read More

TDMR recently reached out to Rep. Richard Peña Raymond, chair of the House Human Services Committee to get his views on the current scene and the future of dental Medicaid in Texas. Supporter of dental Medicaid Raymond has been a major force … Read More

Medicaid dental providers apparently want an online forum to securely discuss mutual problems with Texas Medicaid and DMOs.  Some 92% of those taking our survey answered a resounding “yes” to having such a forum. Comments Here are some of the … Read More

Since our recent stories about the new dental RFP for Medicaid and DentaQuest’s capitation payment move, TDMR has received several emails from dental providers about their concerns over the RFP choices and provider lack of power against such large companies. … Read More

We have closed our revised 2018 Dental Management Organization annual survey and are today giving you the results.  Our survey sample is not that large, unfortunately.  At the end of the day, only 39 providers entered the survey as we … Read More

An industry insider has told TDMR that he thinks six dental management companies will vie for the Texas Medicaid dental contract RFP that closes in September. He named the two current contractors, MCNA and DentaQuest, and included Liberty Dental and … Read More

Rendering of new HHS Building It is finally here, not with a bang but with a sigh.  It’s been out over a week and not a whisper about it until today despite the fantastic anticipation by dental Medicaid providers over … Read More