The Austin American Statesman reported this morning that Rep. Richard Peña Raymond, D-Laredo, has requested that the Texas Health and Human Services Commission Office of Inspector General review all Medicaid cases that were worked on by the now-terminated actuary that admitted to … Read More
It appears other states besides Texas are having problems with their Medicaid fraud investigations. Jury found innocent Per a news report in the Concord Register, a New Hampshire orthodontist, after a two day trial, was found innocent of 45 counts of … Read More
A Texas Health and Human Services Commission employee in the Office of the Inspector General was fired because he apparently “cooked the books” in OIG’s case against Dr. Rachel Trueblood, according to a story published in the Austin American Statesman … Read More
Another HHS-OIG audit about to be released of the Texas Medicaid program will cost Texas another $30 million, according to a story in this morning’s Austin American Statesman. The federal audit covers 2011 for non-emergency medical transportation services. The article reports … Read More
This past week HHSC released a report on executive compensation within HHSC. (Staff Compensation) Per the report, the average base salary for non-executive staff on August 31, 2014 was $37,326. The following table is excerpted from the report to show only … Read More
Two weeks ago, the Texas Office of the Attorney General quietly filed a lawsuit against yet another company associated with Texas Medicaid – the drug company AstroZeneca. Millions of dollars in excess reimbursements It accuses the company of defrauding the Texas … Read More
This past Friday, TDMR sent its comments about the recent Sunset Commission staff report on the Texas Health and Human Services Commission to the Texas Sunset Commission. The following is what was sent from TDMR president Gregory Ewing. A downloadable … Read More
The St. Mary’s University Mu Psi Chapter of the Pi Sigma Alpha National Political Science Honor Society is holding The Texas Medicaid Fraud Issue Forum on Wednesday, November 5th, 2014 in San Antonio. The purpose of the forum is to … Read More
TDMR received a notice from the Texas Sunset Commission on Tuesday requesting feedback on the staff report just issued on HHSC which was particularly scathing of the Office of Inspector General. Make your voice heard Any Texan can comment on … Read More
The Houston Chronicle has reported that as a result of the Sunset Commission’s scathing report on the Health and Human Services Commission Office of Inspector General, HHSC Executive Commissioner Kyle Janek is appointing a special assistant to review OIG procedures … Read More
This afternoon the staff of the Texas Sunset Commission issued its long anticipated report on their proposed recommendations for changes to the Health and Human Services Commission which is under sunset review this year. News Coverage: Texas Tribune, Austin American … Read More
After two years, the Chief Counsel of the Texas Health and Human Services Commission and former director for enforcement of the Office of Inspector General Jack Stick had a day in court on his DWI on Thursday. Judge to rule on … Read More
The Houston Chronicle (story behind a paywall) reported this morning that Leah Rayne, HHSC’s business technology architect, was fired because she “admitted to officials that she leaked details about an internal strategy meeting to Truven Health Analytics…[the] company that was in final negotiations for … Read More
On September 24th, the House Public Health Committee chaired by Rep. Lois Kolkhorst heard testimony from the Texas State Board of Dental Examiners about implementation of changes to the dental board from legislation enacted last legislative session, in particular HB … Read More
The following article was published today in the Texas Tribune, authored by Christine Ayala and Jay Root. UPDATE: The same article was republished in the New York Times with the title “A Texas Official’s D.W.I. Case Is Being Seen in … Read More
On September 3rd, Douglas Wilson Inspector General for the Texas Health and Human Commission Office of Inspector General, testified on the implementation by his department of due process rights under SB 1803 before the House Human Services Committee. Wilson testified … Read More
The following is a writeup done by a dentist on the Medicaid orthodontic program. He previously wrote on his experience with the program. This is a discussion of the Medicaid Insurance Program that covered general dentistry and the specialty of … Read More
The Houston Chronicle reported yesterday and today that the Texas Health and Human Services Commission ended a tentative contract with Truven Health Analytics of Ann Arbor, Mich., because of potential insider influence for the company. The contract was for a major “enterprise data … Read More
TDMR received the following from a Texas Medicaid dentist who wishes to tell his story about his history with the HLD scoring system and the current state of Medicaid for orthodontia. He asked to remain anonymous. When I began working with … Read More
On September 3rd, Rachel Hammond of the Texas Association for Homecare and Hospice testified before the House Human Services Committee on SB 1803 and due process rights for Medicaid providers. Hammond gave examples of difficulties that their members were having … Read More
