Texas Attorney General Ken Paxton has filed suit against a group of dental providers and “sham” marketers for allegedly bribing Medicaid patients and for performing medically unnecessary procedures to defraud Texas Medicaid.
According to the Office of the Attorney General, evidence shows that the provider defendants paid marketer defendants to target Medicaid beneficiaries and their families by offering gift cards in exchange for becoming a patient.
The marketer defendants would direct patients to schedule appointments with the provider defendants, and frequently circulated patients between this network of clinics to maximize Medicaid reimbursement.
After securing these patients, the providers allegedly performed unnecessary and, in some cases, high-risk dental procedures, billing Texas Medicaid for services that were not medically justified.
Source: Paxton sues dental providers for defrauding Medicaid / The Black Chronicle