Texas HHS-OIG has just published its report for 2020 on Medicaid fraud uncovered and reported by MCOs in Texas. The report shows that DentaQuest … [Read more...]
Bill Introduced to Include MCO/DMOs in Medicaid Fraud Investigations by HHSC-OIG
Bill filing has started for the upcoming legislative session at the Texas Capitol. One of the early filings is HB 648, a bill introduced by House … [Read more...]
DMOs Using Gift Cards to Attract New Members But It’s Illegal For Dental Providers
Remember back in 2012 when the media and the state were outraged by dentists giving out gift cards or other small inducements to have Medicaid … [Read more...]
2020 TDMR DMO Survey Results: Improvement, Skepticism About A Third Company
We are pleased to make public the results of our Texas Medicaid Dental Maintenance Organization Annual Survey 2020. This year 90 dentists took … [Read more...]
DentaQuest Dinged $1.5 Million by OIG
Texas HHS-OIG published on their website June 24 an audit they completed on DentaQuest back on January 9. The audit found that DentaQuest had $1.53 … [Read more...]
Texas cancels controversial Medicaid contracts after complaints of subjective scoring
Texas HHS 2020 Inaugural Business Plan Available
UPDATED with Survey- Medicaid Dentists: Lack of Use of D1352 Is Causing Audits and Recoupments
Who Lobbied for UnitedHealthcare, MCNA and DentaQuest
UPDATE: Texas HHS: *Announcement Made* – Still No DMOs Chosen for New Medicaid Contract
UPDATE: San Antonio Dentist Appointed to Medicaid Managed Care Advisory Committee Wants to Hear Dentist’s Concerns
Agenda Available for State Medicaid Managed Care Advisory Committee Meeting
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