This week, a federal judge in Tennessee found that an algorithmic system similar to the one in Texas and designed by the same company illegally denied Medicaid benefits to thousands of Medicaid-eligible individuals. The TennCare Connect system, developed by Deloitte, … Read More
Justice for Medicaid dentists and orthodontists, whose lives, reputations, and practices were ruined in the great Texas Ortho Debacle, appears to be coming—slowly, but surely. Legal losses continue to mount for Conduent State Healthcare LLC, spun off from Xerox in … Read More
More comments have poured in as a result of our last article containing remarks from dentists about the state of their Medicaid practices. Medicaid dentists are having difficulty grappling with the crushing weight of rising costs and woefully inadequate Medicaid … Read More
TDMR’s recent article on the financial challenges facing Medicaid dental practices in Texas has struck a chord with a number of providers who left comments. We don’t often receive a spate of comments after an article, but this one certainly … Read More
The Texas Medicaid dental landscape faces a dire financial paradox. While costs for essential supplies, staffing, and real estate have surged dramatically, Medicaid reimbursement rates have stagnated below 2007 levels. Dental supply costs have increased by up to 98%, staffing … Read More
The American Dental Association’s Health Policy Institute (ADA HPI) recently published its “Economic Outlook and Emerging Issues in Dentistry” report for the second quarter of 2024. This comprehensive survey offers valuable insights into the current economic conditions, staffing challenges, and … Read More
The Texas Tribune published a major story yesterday about the problems Texas and other states are having with Medicaid eligibility systems developed by global consulting firm Deloitte. The Kaiser Family Foundation researched and wrote the story. A few sentences summarize … Read More
In what can only be described as a bombshell decision, the Texas Supreme Court has sided with Dr. Richard Malouf and his legal team. The Court not only reversed the $16 million summary judgment against Dr. Malouf but granted his … Read More
This week, several media outlets, including KXAN, have reported on U.S. Rep. Lloyd Doggett‘s release of correspondence from the Centers for Medicaid and CHIP Services (CMS) to Texas regarding significant delays and backlogs in processing Medicaid program eligibility. These delays … Read More
A few weeks ago, it was announced that BeneCare Dental Plans has taken over the contract as a third-party payer for the Medicaid program in Massachusetts under MassHealth. DentaQuest lost the contract, which it had held for at least a … Read More
According to our review of the annual third-party actuarial reports produced for Texas HHS Provider Finance, the Medicaid dental premium rate for dental maintenance organizations has dropped significantly since 2011. The proposed per-member, per-month capitation rate paid to the DMOs … Read More
In a surprising move, the Arkansas Department of Human Services (DHS) announced this week that it is ending its Medicaid managed care dental program and transitioning back to a fee-for-service model starting November 1, 2024. This move from contracting with … Read More
The National Conference of State Legislatures (NCSL) has published an online article that promotes the need for oral health for all citizens and highlights the strides some states have taken to improve access to dental care, including Medicaid. The article … Read More
TDMR has learned that Texas Health and Human Services Provider Finance will conduct its biennial review of the Medicaid dental fee schedule later this year. The review will be presented at a rate hearing in November, with a proposed implementation … Read More
According to a press release and an article on the American Alliance for Dental Insurance Quality website, this past February, the Massachusetts Dental Society (MDS) and nine other dental organizations sent identical letters to the MassHealth Dental Program, requesting that … Read More
This past week, TDMR came across the State Of Texas Medicaid Managed Care Dental Rate Setting reports on the Texas HHS Provider Finance web portal. These are the third-party actuarial reports compiled for Texas HHS to recommend the per-member, per-month … Read More
The Colorado Dental Association (CDA) announced at the end of April that Gov. Polis had signed the 2024/25 state budget, which includes $78 million in “meaningful reimbursement rate increases for Medicaid dental providers.” The increased fees schedule goes into effect … Read More
TDMR recently received the 2023 statistics of active and enrolled Medicaid dentists from a freedom of information request to Texas Health and Human Services. These statistics come from the THSteps Active and Enrolled Dental Provider Participation Report (downloadable PDF below), … Read More
Holy Healthcare, Batman, Walmart just announced it is getting out of the healthcare provider business by closing its 51 Walmart Health centers around the country, including three brand new locations opened only a few weeks ago in Pearland, Sugar Land … Read More
BY KAREN BROOKS HARPER, Texas Tribune APRIL 26, 2024 “State’s premature release of bid proposal info touches off new battle over $116 billion in Medicaid contracts” was first published by The Texas Tribune, a nonprofit, nonpartisan media organization that informs … Read More
