The Texas House of Representatives Committee on Human Services has announced that it will be holding a public hearing on Wednesday, September 3rd, which will include hearing testimony regarding the effectiveness of SB 1803 and changes that should be made to the … Read More
The state is suing Xerox for a second time, afraid the company’s recent actions in withholding a large number of documents relating to its tenure as the state’s primary Medicaid claims administrator will lead to millions of dollars of federal … Read More
In a stunning reversal of their previous hard-line stance, State regulators have settled a high profile “fraud” case for less than a penny on the dollar. Trueblood Dental Associates, an Austin dental practice with four locations and a high percentage … Read More
Texas Health and Human Services Commission Inspector General Doug Wilson told Sen. Judith Zaffirini and other members of the Senate Committee on Health and Human Services at their August 14th hearing on Medicaid fraud, waste and abuse that his agency … Read More
Sen. Jane Nelson quizzed Health and Human Services Commission Inspector General Doug Wilson about the lack of Medicaid fraud convictions in Texas despite the tremendous resources the Legislature gave to the OIG last session. The questioning occurred during the August 14th … Read More
The following is the testimony presented last week to the Texas Senate Committee on Health and Human Services by Jason Ray of Riggs Aleshire & Ray in Austin. Ray is an attorney for a number of Medicaid dentists who have … Read More
As part of its charge in its hearing last Thursday, the Texas Senate Committee on Health and Human Services looked into the state of the Texas State Board of Dental Examiners. The Executive Director Julie Hildebrand, the Director of Enforcement Lisa … Read More
Three dentists testified before the Senate Health and Human Services Committee on Thursday about their experiences with the Texas Health and Human Services Commission Office of the Inspector General and how their due process rights are still being violated despite … Read More
Three Medicaid dentists who are involved in HHSC-OIG cases will be testifying tomorrow before the Texas Senate Committee on Health and Human Services. Dr. Chad Evans of Smile Magic from Dallas, Dr. Vivian Teegardin of Harlingen Family Dentistry and Dr. … Read More
Last Wednesday, the Department of Health and Human Services, Office of Inspector General released the results of its long anticipated audit of Texas Medicaid orthodontic spending. The feds conducted the audit because Texas Medicaid payments for orthodontic services rose from … Read More
At a recent deposition in Austin, lawyers for a dental Medicaid provider discovered that the State has invested thousands of dollars to employ a well-known Dallas jury consultant to help prepare the State’s witnesses to testify in depositions and in administrative … Read More
At the end of July, Xerox, Texas Medicaid’s disgraced former claims administrator, filed for a protective order with the Travis County District Court. The stated reason for the order is because the Office of the Attorney General has apparently demanded … Read More
The Senate Committee on Health and Human Services has sent out public notice that it will be holding a public hearing at the Capitol in Austin on Thursday, August 14th. One of the charges the Committee will look into at … Read More
Last week Xerox filed a response to both the lawsuit filed by the State of Texas and its dentist intervenors about Xerox’s allegedly deficient Medicaid orthodontic prior authorization process that led to $1.1 billion in program spending without proper review. … Read More
Letters to both Rep. Richard Peña Raymond and Rep. Lois Kolkhorst, chairmen of the House Human Services and Public Health Committees respectively, have been sent from TDMR President Greg Ewing requesting a public hearing on SB1803 and HHSC’s compliance to … Read More
Back in May, shortly after Texas filed suit against Xerox and removed the company as the lead contractor in the Texas Medicaid and Healthcare Partnership for its failure to properly handle Medicaid orthodontic prior authorizations leading to $1.1 billion in … Read More
As part of the lawsuit against Xerox, the former lead contractor for the Texas Medicaid and Healthcare Partnership, the Texas Office of the Attorney General alleges that Xerox, from the beginning of its contract with Texas, wrote misleading documents that … Read More
In the lawsuit against Xerox filed by the Texas Attorney General, there is one more startling revelation. The State is alleging that Xerox as early as 2004, when the company took over the contract as the state’s Medicaid claims administrator, the … Read More
Back in January 2009, a Medicaid Orthodontic Stakeholder meeting was held in Austin at the offices of the Texas Dental Association. Dr. Linda Altenhoff presided at the meeting. Dr. Altenhoff is currently the Dental Director for the Texas Health and … Read More
Apparently TMHP/Xerox “dental specialists” were only trained to add up HLD scores on Medicaid orthodontic pre-approval requests and determine whether the total was 26 points or more, per allegations contained in the lawsuit filed against Xerox by the Attorney General … Read More
