In a highly unusual move, a judge working for the Texas Health and Human Services Commission last week overturned findings of an outside judge — essentially changing a finding of innocence to one of guilt. The case is particularly unusual … Read More
March 5, 2014 — A Texas judge has upheld payment holds on Medicaid payments for Houston dental clinic Antoine Dental Center (ADC), citing credible evidence of Medicaid fraud. The clinics billed about $8.1 million for orthodontic services in less than … Read More
When Steve Aragon’s daughter invited him to speak to her students for career day, he wasn’t sure what he was going to say. He was lined up behind a judge, a SWAT team member and a zoologist. But when it … Read More
Gov. Rick Perry is encouraging University of Texas System regents to consider Health and Human Services Executive Commissioner Kyle Janek for the open job of chancellor, sources said Tuesday. Francisco Cigarroa, the current UT System chancellor, last week announced his … Read More
On Sunday, the Austin American Statesman published a feature article on the current state of affairs regarding how Texas regulators are dealing with the claims of large scale Medicaid orthodontic fraud that have been swirling around Texas since 2011. The … Read More
In 2011, state regulators announced that they were taking a giant stride toward fighting blatant insurance fraud. They said they had identified nearly four dozen dentists and orthodontists who had ripped off taxpayers by billing Medicaid tens of millions of … Read More
Texas State Office of Administrative Hearings judges, the Honorable Howard Seitzman and the Honorable Catherine Egan, provided their final Proposal for Decision in the case of Houston’s Antoine Dental Center to HHSC Excecutive Director Dr. Kyle Janek on Thursday. Antoine … Read More
Back on October 15th, 2012, now more than a year ago, Texas Deputy Attorney General for Civil Litigation John Scott testified before the House Committee on Public Health in the Capitol. TDMR has just reviewed the archived video from the … Read More
Before the Thanksgiving long weekend, TDMR received a copy of the August 2012 audit conducted by the HHSC Office of the Inspector General on the Texas Medicaid and Healthcare Partnership. As far as we know this is the first time … Read More
To address privacy concerns raised by state leaders, the Texas Department of Insurance on Tuesday proposed additional rules for the so-called navigators directed to help Texans find health insurance under the federal Affordable Care Act. TDI Proposes New Rules for … Read More
Texas Health and Human Services Commissioner Kyle Janek raised concerns on Tuesday about a temporary process set up by the Obama administration to help transfer applications for Medicaid from the federal health insurance marketplace over to the state. “As Jan. … Read More
The Texas Sunset Commission is evaluating the state Health and Human Services Commission this coming year under its mandate to periodically review Texas state agencies for their operation and need to exist. About the Commission The Texas Legislature created the … Read More
In Touch: News from the Texas Health and Human Services Commission.
Xerox is the parent company of the Texas Medicaid and Health Partnership/ACS which was responsible for approving all Medicaid expenditures including orthodontia up until last year. AUSTIN — Texas has signed a 5-year, approximately $100 million contract with Xerox to … Read More
This morning the San Antonio Express published a feature article headlining the case of Harlingen Family Dentistry and Dr. Juan Villarreal and his fight against the Office of Inspector General and their “credible allegation of fraud” payment holds. Reporter Jeremy … Read More
Harlingen Family Dentistry has won a tremendous legal victory this week. Travis County District Court Judge Amy Clark Meachum has granted HFD’s motion for a writ of mandamus to force the Office of Inspector General to return more than $1 … Read More
The Health and Human Services Commission has put online its self-report to the Sunset Commission as HHSC is coming up for review by the Commission this coming year. The link below will take you to the HHSC website where you … Read More
Ever wonder why Medicaid and Medicare rates are so low or why there was a Frew lawsuit? What about the future for reimbursement rates for Medicaid or Medicare health care providers in Texas? No need to wonder. Here’s your answer. … Read More
A former investigator for the Texas Health and Human Services Commission was sentenced to federal prison for theft violations in the Eastern District of Texas, announced U.S. Attorney John M. Bales on Friday, Aug. 9. Melva Darlene Blakemore, 62, of … Read More
