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
A Medicaid dental provider with multiple offices in the state contacted TDMR this past week, voicing serious concerns about recent restrictions imposed on their practice by Canadian-owned DMO DentaQuest regarding the use of substitute dentists. Violation of Texas Administrative Code … Read More
Recent legislative actions in North Dakota and North Carolina—both Republican-led states—highlight growing nationwide recognition of the urgent need for Medicaid dental reforms. These developments underscore a critical issue facing Texas: inadequate dental Medicaid reimbursement rates, which continue to hinder staffing, … Read More
TDMR was contacted a few days ago by a concerned dentist who was unaware of which Medicaid reimbursement rates were changing as part of the upcoming March 1, 2025, fee adjustments. These rolled out as a result of the biennial … Read More
Despite all the talk of cost cutting in Tooth Fairy Land and despite curtailing payouts in other parts of the country, the Tooth Fairy continues to leave generous payouts for childrens’ lost teeth in Texas and the South. This unexpected … Read More
According to the latest online Health Resources & Services Administration statistics, Texas ranks behind California, Arkansas, Missouri, and Florida as the states with the most dental health professional shortage areas (DHPSAs). Texas currently has 265 areas designated as such. The HRSA … Read More
And the story rolls on. The Delaware Supreme Court this week ruled against insurance giants AIG, ACE, and Lexington Insurance, upholding a lower court’s decision to order a new trial in their dispute with Conduent State Healthcare (ACS/Xerox/Conduent) over coverage … Read More
A January 2025 oral health survey conducted and published by personal finance website WalletHub has ranked Texas as one of the states (the District of Columbia was included in the survey) with the worst oral health in the country. Source: … Read More
Texas is grappling with a critical shortage of healthcare workers, including dental professionals, exacerbating dental access and provider issues across the state. A recent Newsweek article, “How Texas Could Solve Its Health Care Worker Crisis,” highlighted these problems, mentioning a Becker’s … Read More
