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You are here: Home / Archives for dentaquest

DentaQuest New Standard of Care Review for Restorations Begins February 1

January 18, 2019 By TDMR Leave a Comment

Dentaquest headquarters in Boston, MA We want to remind Medicaid dentists that DentaQuest is starting a new protocol on February 1 for reviewing restorations done on the same tooth within 36 months.  This includes prior authorization along with other criteria detailed below in a copy of the letter sent out to dentists in December. Codes that are affected are D2140, D2150, … [Read more...]

Filed Under: Medicaid Reform News, Slider Tagged With: dentaquest, Medicaid managed care, texas medicaid reform

Capitation? DentaQuest and Brident Dental Agree on Alternative Payment Method

December 11, 2018 By TDMR Leave a Comment

Dentaquest headquarters in Boston, MA We received a copy of this release from DentaQuest's Boston PR firm this morning.  It appears DentQuest did continue to work with a large provider in Texas to come up with an alternative payment model.  The details below are sketchy. DentaQuest Enters into First-of-its-Kind Value-Based Contract in Texas Alternative Payment … [Read more...]

Filed Under: Medicaid Reform News, Slider Tagged With: dental managed care, dentaquest, state medicaid, texas health and human services commission

Questions Linger about Capitation and DMO RFP

November 27, 2018 By TDMR Leave a Comment

We've heard from various dentists that they have questions about controversial issues that have come up over the last several months.  So we assume there are more out there that have the same questions or heard the same rumors. Primarily they are concerned about DMOs moving to a capitation plan as DentaQuest was seeking to do and what is currently happening with the RFP. So … [Read more...]

Filed Under: Medicaid Reform News, Slider Tagged With: dentaquest, MCNA, Medicaid managed care, state medicaid

TDMR DMO Survey 2018 Results: MCNA Improves, DentaQuest Has More Problems, Dentists Frustrated

July 26, 2018 By TDMR 4 Comments

We have closed our revised 2018 Dental Management Organization annual survey and are today giving you the results.  Our survey sample is not that large, unfortunately.  At the end of the day, only 39 providers entered the survey as we decided to ask for actual names and provider numbers to prevent possible false responses.  Consequently, it is more than likely that those … [Read more...]

Filed Under: Medicaid Reform News, Slider Tagged With: dentaquest, MCNA, Medicaid managed care, texas health and human services commission, texas medicaid reform

DentaQuest Now Promoting Capitation Payments Instead of Fee-for-Service to Some Providers

July 9, 2018 By TDMR 2 Comments

TDMR has confirmed rumors that a number of Texas dental providers have been approached by DentaQuest to change their payment method from managed fee-for-service to capitation. Capitation to "share the financial risk" with providers A capitation payment is a fixed amount of money per patient per unit of time paid in advance to a healthcare provider for the delivery of … [Read more...]

Filed Under: Medicaid Reform News, Slider Tagged With: dentaquest, texas health and human services commission, texas medicaid reform

DMO Request for Proposals Coming?

March 22, 2018 By TDMR Leave a Comment

TDMR has been asked several times recently if we have any knowledge of an upcoming RFP (request for proposals) for dental management organizations.  There have been rumors flying around for well over a year now that Texas Health and Human Services would be putting out such an RFP at some point. Back in the day, late 2016, we even talked with someone at HHS about this and … [Read more...]

Filed Under: Medicaid Reform News, Slider Tagged With: dentaquest, MCNA, Medicaid managed care, texas health and human services commission

DentaQuest’s $10,000 donation to Memorial Hermann Foundation Supports Mobile Dental Program in Houston Schools

November 28, 2017 By TDMR Leave a Comment

HOUSTON, Nov. 28, 2017 /PRNewswire/ -- DentaQuest, the leading purpose-driven oral health company and the largest Medicaid dental benefits administrator in the nation, has donated $10,000 to the Memorial Hermann School-Based Health Centers' mobile dental program. This donation marks the latest in DentaQuest's outreach to strengthen the Houston community, including $1 million to … [Read more...]

Filed Under: Media Tagged With: dentaquest, mobile dental program, texas dentistry

DentaQuest Donates One Million Dollars to Support Hurricane Harvey Relief Efforts In Texas

September 2, 2017 By TDMR Leave a Comment

DentaQuest, the leading oral health company in the United States and the largest in the Medicaid space, wired one million dollars today to the Rebuild Texas Fund launched by The Michael & Susan Dell Foundation. With this donation, DentaQuest joins other industry leaders who have answered Texas Governor Greg Abbotts’ call to raise private donations for the long-term recovery … [Read more...]

Filed Under: Media Tagged With: dental news, dentaquest, Rebuild Texas Fund

DentaQuest Sues Arkansas Procurement Director Over Dropped Medicaid Bid 

April 17, 2017 By TDMR Leave a Comment

Procurement Director Edward Armstrong must have a feeling of deja vu.Disclosure provisions in the state’s competitive bidding process have landed him in the hot seat again, this time as a defendant in a lawsuit filed last week by DSM USA Insurance Co. Inc. of Boston, better known as DentaQuest.The complaint, filed by the McDaniel Richardson & Calhoun law firm in Pulaski … [Read more...]

Filed Under: Media Tagged With: dentaquest, Medicaid managed care

Dentaquest sues in Arkansas to toss Medicaid pick

April 13, 2017 By TDMR Leave a Comment

A Boston company has asked a judge to overturn an Arkansas official's decision that resulted in the firm losing a bid for a multimillion-dollar contract to manage dental benefits for Medicaid recipients. In a lawsuit filed Monday in Pulaski County Circuit Court, DentaQuest contends that state Procurement Director Edward Armstrong erred in February when he disqualified the … [Read more...]

Filed Under: Media Tagged With: dentaquest, MCNA, state medicaid

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Conduent Stock Price Watch

As the Texas Medicaid fraud suit against Xerox/Conduent moves towards trial, watch the company's stock price. The company's 52-week high was on June 14 at $20.85.

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  • Texas Settles with Xerox for $235 Million Out of "Desire to Buy Peace and Avoid Further Litigation"
    Texas Settles with Xerox for $235 Million Out of "Desire to Buy Peace and Avoid Further Litigation"
  • Jury convicts former Missouri dental clinic owners of $1 million health care, payroll tax fraud
    Jury convicts former Missouri dental clinic owners of $1 million health care, payroll tax fraud

Recent Comments by Readers

  • Kenneth Bolin on “I approved all of them regardless” – Xerox/Conduent Dental Director on Ortho PAs
  • Kenneth Bolin on Texas Settles with Xerox for $235 Million Out of “Desire to Buy Peace and Avoid Further Litigation”
  • Joe Knows on “I approved all of them regardless” – Xerox/Conduent Dental Director on Ortho PAs
  • Beans on “I approved all of them regardless” – Xerox/Conduent Dental Director on Ortho PAs
  • Graham D. Shea, DDS on Texas Settles with Xerox for $235 Million Out of “Desire to Buy Peace and Avoid Further Litigation”
  • TDMR on “I approved all of them regardless” – Xerox/Conduent Dental Director on Ortho PAs

Recent Media of Interest

Virginia couple accused of defrauding Medicaid

February 22, 2019

Jury convicts former Missouri dental clinic owners of $1 million health care, payroll tax fraud

February 22, 2019

Firm announces $232M contract with Indiana, just two days after settling huge Medicaid fraud case in Texas

February 21, 2019

Xerox Reaches $235M Deal to Settle Medicaid Fraud Claims

February 19, 2019

Sentencing delayed in Texas medical equipment fraud case

February 18, 2019

Walgreens to Pay $269.2 To Settle Civil Fraud Lawsuits

February 17, 2019

Voters in four states have approved Medicaid expansion by ballot. Will Texas do the same?

February 15, 2019

Thousands of Texans shocked by surprise medical bills. Requests for help overwhelm the state.

February 15, 2019

Ohio joins alleged overbilling and fraud settlement with Walgreens

February 15, 2019

Lessons for Distributors from Dental Lawsuits

February 14, 2019

Minnesota Attorney General Ellison’s office wins state’s largest medicaid fraud case

February 12, 2019

DOJ Announces More Than $21M in Home Health Fraud, Kickback Schemes

February 12, 2019

Texas lawmaker introduces bill requiring name and photo be added to Lone Star card to fight fraud

February 11, 2019

Federal indictment in Ohio charges 6 in $48M Medicaid fraud

February 8, 2019

Georgia hospital enters $5M settlement with feds to resolve false claims case

February 8, 2019

California man sentenced, ordered to pay $1.5 million for healthcare fraud

February 7, 2019

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