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    Kathy Walt Returns to Team Perry | The Texas Tribune.    

State Awaiting Feds' OK to Boost Medicaid Payments | The Texas Tribune.

Karen Nelson is no longer with the Office of Inspector General. The former Deputy Inspector General for the HHSC-OIG is now working for the Austin office of the DLA Piper law firm. Nelson apparently left OIG last month. One can … Read More

Hearing Transcripts Now Available for Download Antoine Dental Clinic vs. HHSC-OIG – Vol. 1 Antoine Dental Clinic vs. HHSC-OIG – Vol. 2 Antoine Dental Center v. THHSC, OIG – Vol. 3 Antoine Dental Center v. THHSC, OIG – Vol. 4 … Read More

The Texas Tribune published today an article outlining the coming changes to the Texas State Board of Dental Examiners as a result of House Bill 3201 that was passed by the legislature and signed by the governor. The legislation will … Read More

Here are some recent media stories that relate to Medicaid and Medicaid fraud. June 18th – Medicaid Orthodontist found guilty July 19th – Perry orders investigation into oversight of troubled rural hospital chain _ Dallasnews July 24th – AG, Planned Parenthood Affiliate … Read More

This week the staff of the Committee on Finance and Committee for Judiciary for the U.S. Senate released a negative report about DSOs entitled the “JOINT STAFF REPORT ON THE CORPORATE PRACTICE OF DENTISTRY IN THE MEDICAID PROGRAM.”   The report suggested that one … Read More

The following is information on upcoming court hearings that are vitally important to this whole dental Medicaid provider issue. On August 13 at 9:00 a.m., an HHSC Appeals Judge will hear M&M Orthodontics of San Antonio’s Plea to the Jurisdiction. … Read More

Last week, Antoine Dental Centers of Houston and Harlingen Family Dentistry of Harlingen brought a motion before the Travis County District Court to unseal the massive Christine Ellis qui tam suit filing that in redacted form appears to have 46 … Read More

TDMR has learned that Harlingen Family Dentistry has filed a lawsuit against HHSC and the OIG challenging their authority to impose a payment hold on Medicaid providers for a simple program violation. The case, styled Harlingen Family Dentistry, P.C. vs. … Read More

As was reported in the media, on June 25th, 2012, Texas orthodontist Christine Ellis filed a qui tam suit against dental chain All Smiles with the Dallas firm of Waters and Kraus acting on her behalf. Ellis has been one of the … Read More

Before the end of the legislative session, TDMR posted an online survey, asking dental Medicaid providers their opinions about a number of important questions. What are the biggest challenges Medicaid providers face today? In your opinion, what is a Medicaid … Read More

TDMR has learned that Jason Ray, attorney at the Austin law firm of Riggs, Aleshire & Ray, P.C., recently negotiated a full settlement of an OIG complaint and payment hold against a dentist in the Dallas area. The dentist, who … Read More

  Please find in our menu, records of testimony given by either Douglas Wilson or Jack Stick of Texas Health and Human Services’ Office of the Inspector General during the 2013 legislative session.    

On Friday, June 14th, without fanfare, Gov. Rick Perry signed Senate Bill 1803 into law. The legislation will take effect September 1st. This is a tremendous victory for all Medicaid providers in Texas as it provides for legislated due process … Read More

On May 29th, lawyers for Harlingen Family Dentistry and the Texas HHSC-OIG appeared in Travis County District Court before The Honorable Judge Amy Clark Meachum. As outlined in a previous article “Harlingen Family Dentistry Seeks Court Order for Return of … Read More

In a press release this past week, Harlingen Family Dentistry, the practice of Dr. Juan Villarreal in Harlingen, Tx, announced that through Austin attorney Jason Ray, it has filed a motion for a writ of mandamus in Travis County District … Read More

TDMR has responded in the McAllen Monitor to a piece reprinted there from the Texas Tribune from April 25th “Legislators Seek Action on Medicaid Fraud Measures.” TDMR Director of Communications Chuck Young penned an opinion piece regarding problems in the … Read More

On May 16th, SB 1803 (CSSB 1803) came before the Texas House of Representatives for third reading. Rep. Kolkhorst and Rep. Guerra added amendments and made comments about the necessity of putting in legislation due process rights for all Medicaid … Read More

This morning, the Texas House of Representatives passed CSSB 1803 with a vote of 119 to 20 in favor.  This is a great victory for Medicaid providers as it for the first time outlines in legislation due process rights. The … Read More

Texas Dentists for Medicaid Reform questions why Texas taxpayers will pay up to $500 an hour to Dallas law firm Waters & Kraus when legislators have already approved monies for OIG staff expansion; a trend if applied to all cases … Read More

The bill that was to enshrine due process rights for Medicaid providers now heads for a House vote and bears less resemblance to the bill that entered the House. SB 1803, now CSSB 1803, while having many good points remaining, … Read More

Since public testimony on Tuesday, the House Human Services Committee voted on a committee substitute for SB 1803, adding a number of clarifications and additions to the bill, and passed it 6-0, with three members not in attendance.  The bill … Read More

Public testimony on SB 1803 was held on Tuesday, April 30th, before the House Human Services Committee.  The House sponsor of the bill was no less that the chair of the House Public Health Committee Lois Kolkhorst. Again a number … Read More

AUSTIN, (April 30th, 2013) — Medicaid providers will speak out today in favor of Senate Bill 1803 before the Human Services Committee of the Texas House of Representatives. The bill provides for more thorough vetting of fraud claims by the … Read More

On Tuesday April 30th at 10:30 am, the Texas House Human Services Committee will hear public testimony on Senate Bill 1803. This bill passed the Senate unanimously 31-0 a few weeks ago and was drafted by Senator Joan Huffman, a … Read More

Group producing videos to show the human cost of enforcement actions against Medicaid providers without due process protections in place Austin, Tx (PRWeb):  Texas Dentists for Medicaid Reform (“TDMR”) has posted 13 videos of the public testimony given on March … Read More

America is about to experience a deluge of Medicaid money. At the same time, privatization is coming hot on the heels of Medicaid expansion. Here in the Lone Star State, the proposed Texas Solution from the TPPF is built around … Read More

The following dentists and one dental staff person spoke about their experiences with the Office of Inspector General while testifying in favor of House Bill 1536 during public testimony in front of the House Human Services Committee on March 19th. … Read More

The following lawyers testified in favor of House Bill 1536 during public testimony in front of the House Human Services Committee on March 19th. Tony Canales, author of HB 1536, speaks about why the bill is needed and his experience … Read More

  We were recently on KXDJ radio, a Fox affiliate up in the Texas Panhandle. It was encouraging to get some support from a more tea-party oriented crowd. We’ve always thought that this issue should cut across party lines, and … Read More

Senator Joan Huffman’s bill providing due process rights for Medicaid providers which passed the Texas Senate 31-0 has now been assigned to the House Human Services Committee, chaired by Rep. Richard Peña Raymond. No date has been set for hearing … Read More

A quick summary of the main points of Senate Bill 1803 follows. This is not a definitive list or exhaustive explanation of each point nor legally accurate. For that we refer you to the legislation itself to read. But the … Read More

Below are links to written testimony that was submitted by a number of dentists and attorneys regarding the need for due process protection for Medicaid providers. We strongly recommend you read them. Dr. Tara Rios, TDMR Board Dr. Vivian Teegardin … Read More

Senate Bill 1803, authored by Sen. Joan Huffman and assisted by Sen. Juan “Chuy” Hinojosa, passed unanimously the Texas Senate yesterday, 31-0, and it is now ready to hit the House floor. The bill was amended by the Senate to … Read More

Along with providers and their employees, Texas’ GOP leadership has thrown thousands of kids under the bus In this pair of brief videos, we get an up-close look at the results of Governor Perry’s covert war on Medicaid providers. When … Read More

Here are resources regarding the Office of the Inspector General and things that have been publicly stated by the former Inspector General Douglas Wilson or his Deputy Inspector General for Enforcement Jack Stick. A number of these resources are transcripts … Read More

It’s politics as usual at the Capitol. But is the truth even uglier? Thanks to a deluge of calls and contacts from countless Medicaid providers, Senate Bill 1803 recently moved out of the Health and Human Services committee. As it’s … Read More

There’s a great deal of talk today about Medicaid Expansion. Texas’ Governor and both of its U.S. Senators have proclaimed their opposition to it; Texas Democrats and progressives have duly noted their support. But regardless of whether or not Governor … Read More

Senate Bill 1803 is another Medicaid provider due process bill like House Bill 1536 heard last week in the House Human Services Committee Yesterday, Chuck Young, TDMR spokesperson, testified at the public hearing of SB 1803, an act relating to … Read More