WHITE PLAINS – A registered nurse from Yonkers was arrested and indicted Monday for allegedly submitting more than $390,000 in claims for services to two severely disabled patients that he did not provide. Attorney General Eric Schneiderman says over the course … Read More
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 … Read More
The Texas Health and Human Services Commission did not always claim Federal Medicaid reimbursement for managed care payments in compliance with Federal requirements. Of the 3,170 beneficiary matches in our review, 3,045 were assigned more than 1 Medicaid identification number. … Read More
Below are the results of our TDMR Medicaid Dental Maintenance Organization Followup Survey. 84 dentists responded to the survey which is not quite comparable to the 105 who took the first survey back in December 2016. Cautions on the results … Read More
Another bill affecting Medicaid providers of all stripes was introduced yesterday by state Rep. Sergio Muñoz Jr. from District 35 in the Rio Grande Valley. Rep Muñoz, Jr. is a second term representative who was a member of the Government … Read More
UPDATE, March 2: Survey is now closed. Last fall through to this January, TDMR received a deluge of unsolicited complaints regarding problems with Medicaid dental managed care organizations. Lots of complaints and education actions taken We have published no less … Read More
After initially scoring last among four bidders, a Florida company won a contract to manage dental benefits provided to Arkansas Medicaid recipients after the state’s procurement director on Friday disqualified two of the other bidders. The ruling cleared the way … Read More
TDMR has learned from a staffer in the office of Sen. Juan “Chuy” Hinojosa that they have been informed by Health and Human Services that managed care organizations, including MCNA, do not have any right under any Texas or federal … Read More
Did you know that HHS, formerly HHSC, has a Managed Care Inquiries and Complaints mailbox? It does. It also has a person to field those inquiries and complaints. That person is Dr. Marguerite Laccabue, MPH, DDS, Dental Director of the Office of … Read More
At the same stakeholders meeting last February that representatives from MCNA and Dentaquest provided briefings, the then-dental director for the Health and Human Services Inspector General, Dr. Linda Altenhoff, presented on rules and regulations regarding solicitation by dental providers. Altenhoff … Read More
In February of last year, Texas Health and Human Services Dental Director Marguerite Laccabue held a dental stakeholders meeting in Austin. It doesn’t appear from the HHSC online video of the proceedings that it was well-attended or promoted as the … Read More
TDMR received the following email from a Texas dentist. He has given permission for us to publish it and we are doing so anonymously to hopefully prevent any further retribution against himself and his practice. I am writing this email … Read More
Last Thursday, Texas Health and Human Services held its Biannual Managed Care Stakeholder Meeting in Austin. The meeting was primarily hosted by Jami Snyder, the Associate Commissioner for the Medicaid & CHIP Services Department of HHS. During the open discussion … Read More
2016 ended very badly for Texas Medicaid. It was a very poor Christmas for many. There were a number of important divisive events that occurred which we decided not to comment on during the holiday season. We didn’t want to spread … Read More
Back in December, TDMR asked dentists to take an online survey to ascertain their views on Texas Medicaid dental managed care. We now have these results which are provided below and can be downloaded. Limitation of survey results Before we … Read More
TDMR has been notified that Texas Health and Human Services is holding its biannual meeting on managed care next Thursday in Austin. It is open to the public and is taking public comment on several items. If you can’t make … Read More
Parents with disabled children currently on disability-related Medicaid may be forced to find a new physician before November. STAR kids is a new managed care program serving those who are 20 years old and younger and goes into effect on … Read More
