As reported last week by the Austin American Statesman, Stuart Bowen, the new Inspector General for the Texas Health and Human Services Commission, is sending his first report to the Governor today. TDMR has obtained a copy of the full … Read More
AUSTIN — Nearly three years after police pulled over a then-powerful Texas state official on suspicion of drunk driving, prosecutors are finally getting a chance to prove their case. Source: Controversial former state official’s drunk driving trial begins
Before Jack Stick resigned as chief counsel for the Texas Health and Human Services Commission amid one of the biggest political scandals in 2014, the former state representative was fighting a charge in Travis County court for driving while intoxicated. … Read More
The recent decision by a Travis County District Court judge that again vindicated Antoine Dental Center of Houston on allegations of Medicaid fraud and vacated a three-year “credible allegation of fraud” payment hold has been appealed by the Civil Medicaid … Read More
Back in May of 2014, the State of Texas terminated Xerox as the state’s Medicaid claims administrator and filed suit against the company. The state is seeking recompense for hundreds of millions of taxpayer dollars paid out by the company for … Read More
The Health and Human Services Commission (HHSC) is asking for comments on a proposed new advisory committee structure. In response to Sunset legislation approved during the most recent legislative session, HHSC conducted a comprehensive analysis of 132 existing advisory committees. This … Read More
The chief operating officer of the Texas Health and Human Services Commission announced Monday that he will be stepping down to return to the private sector. John Scott, who has served in the role since January, was credited as the … Read More
Bryan Black is the new press officer for the Office of Communications. He joins HHSC following his service as the communications director at the Texas Department of Agriculture. During Black’s tenure at TDA, he transformed the department into a premier … Read More
AUSTIN – Texas Health and Human Services Executive Commissioner Chris Traylor today announced John Scott is stepping down as chief operating officer of The Health and Human Services Commission (HHSC). Scott joined HHSC in January, where he served as the … Read More
AUSTIN — A lawsuit that sought to block deep cuts in what Medicaid pays for disabled children and poor elderly Texans’ therapies has delayed the rate changes for a month but otherwise forced no change in the state’s plans. On … Read More
A McAllen area doctor accused in June of filing fraudulent Medicare claims involving deceased patients faces new charges after he continued to file false claims, federal investigators said. Source: Doctor accused of filing claims for dead patients faces new charges … Read More
The Health and Human Services Commission has just put online proposed changes to the THSteps Diagnostic Dental Services Policy and is requesting stakeholder feedback on the changes. The updated policy will require the use of a professionally developed and … Read More
A district court judge on Wednesday handed state Medicaid regulators another decisive courtroom loss, adding one more notch to the Health and Human Service Commission’s Office of Inspector General’s unenviable losing streak pursuing dentists and orthodontists it claims have bilked … Read More
Home health agencies providing pediatric therapy services, along with the mothers of five children in Travis and Williamson counties, turned to the courts Tuesday to stop Texas officials from imposing program cuts totaling $350 million.Most of those receiving the speech, … Read More
UPDATE, August 11, 2015: We have been informed by a very keen-eyed and interested observer that the definition of “physician” under the Social Security Act includes dentists. So we are not sure why the Texas Health and Human Services Commission … Read More
A name familiar to many Medicaid dentists who have felt the sting of Doug Wilson and Jack Stick’s Office of Inspector General in the last few years has resigned, per the Texas Tribune. Cody Cazares, an aide to former Health … Read More
Months after he was put on paid administrative leave amid an investigation into the Texas Health and Human Services Commission’s contracting procedures, Cody Cazares, the former chief of staff to the commission’s top lawyer, has left the agency. Cazares, the former chief … Read More
In January, Stuart Bowen took charge of a state office rocked by accusations of corruption, incompetence and inefficiency. Responsible for ferreting out fraud amid the programs and procedures of the sprawling Health and Human Services Commission, the office of Inspector General … Read More
For the record, the DWI trial that was scheduled on July 30 for former Health and Human Services Commission chief counsel and former deputy inspector general for enforcement Jack Stick has again been delayed until September 17. Stick’s original arrest … Read More
TDMR has learned that the new Health and Human Services Commission Inspector General Stuart Bowen, Jr. has been taking on and overhauling the agency’s use of statistical sampling and extrapolation. This is the most controversial tool that the agency had … Read More
AUSTIN — Even as they left nearly $18 billion unspent, Texas lawmakers ordered a $350 million cut this year to Medicaid pay for therapists who perform one of health care’s most exacting jobs.In a two-year budget that was flush enough … Read More
Last Wednesday, July 16, lawyers for Antoine Dental Centers of Houston again went to court. Going Travis County District Court This time they appeared before Travis County District Court to appeal the Medicaid payment hold final decision by former Health … Read More
Here is the June/July edition of the Texas Medicaid News! Hello and welcome to the Texas Medicaid news update, I’m Andy Zajac. Things have been hot and heavy over the last few weeks in Austin. 1) Our top story is … Read More
Four firms provided “proof of concept” demonstrations of their Medicaid fraud detection software to the Texas Health and Human Services Commission and its Office of Inspector General back in 2011. These proof of concept projects allowed the firms to access … Read More
The press has uncovered a lot of conduct unbecoming at the Texas Health and Human Services Commission and its Office of Inspector General in the last eight months. First there was the Sunset Advisory Commission with its damning report on … Read More
This morning, TDMR was notified that Governor Greg Abbott has now signed into law SB 207, the legislation which makes major changes and improvements to the way the Texas Health and Human Services Commission Office of Inspector General will work. … Read More
Texas owes the U.S. government $133 million for unallowable orthodontic Medicaid treatments from 2008 to 2010, according to a new report by the Office of Inspector General (OIG). Many of the claims were improperly approved because they did not have … Read More
HOUSTON — Texas should repay at least $133 million in Medicaid funding misspent on unnecessary dental and orthodontic procedures, according to a federal audit. Source: Feds say Texas should repay $133 million in Medicaid funds misspent on dental care | … Read More
Update, 1:10 p.m. Recent scandals and newspaper headlines were not the reason that Kyle Janek stepped down from the agency, Janek told reporters a few minutes ago.Gov. Greg Abbott did not pressure Janek to resign, he added, and Janek initiated … Read More
AUSTIN – Nearly six months after a scandal over a $110 million no-bid contract rocked the Texas Health and Human Services Commission, Gov. Greg Abbott said Friday that executive commissioner Kyle Janek would resign July 1.Former second-in-command Chris Traylor will … Read More
Governor Greg Abbott today announced that Texas Health and Human Services Commission Executive Commissioner Dr. Kyle Janek has expressed his intention to resign, effective July 1, 2015. Governor Abbott simultaneously announced his intention to appoint Chris Traylor as Executive Commissioner … Read More
Texas Health and Human Services Executive Commissioner Kyle Janek, M.D., announced today he is stepping down from his position effective July 1 to make way for new leadership as the agency prepares for major reorganization. “I’ve been honored to lead … Read More
The Texas Tribune just reported the following this morning: Kyle Janek, the head of the state’s embattled Health and Human Services Commission, will step down and be replaced by his former deputy, sources with direct knowledge of the move said Friday. … Read More
Back last August, the Department of Health and Human Services Office of Inspector General released an audit report that the Texas Health and Human Services Commission was responsible for the conduct of its Medicaid claims administrator for the hundreds of … Read More
From the Office of Inspector General of Department of Health and Human Services http://oig.hhs.gov [Matt Moore] I’m Matt Moore, an audit manager in Dallas, speaking with Eugena Newton, a senior auditor who is also in our Dallas office. Eugena, your … Read More
DALLAS — Texas paid $191,410,707 for unallowable orthodontic services from 2008 through 2010, according to a federal investigation to be released on Thursday. And officials say the federal government wants a large portion of it back. The findings are in … Read More
On May 29th, the Texas Health and Human Services Commission issued its request for proposal for the contract management of Texas Medicaid. So if you are so inclined, you can take the place of Xerox as the state’s Medicaid claims … Read More
Today, SB 207 with minor changes was approved by both Texas House and Senate conference committees. SB 207 is the bill that contains the Sunset reforms to the Health and Human Services Commission Office of Inspector General. The next step is for … Read More
Sunday night on this Memorial Day weekend, the Texas House of Representatives passed Senate Bill 207, the legislation that will reform the Health and Human Services Commission Office of Inspector General. The recorded vote was 142-0. The bill now goes back … Read More
The front-page of the Austin American Statesman Sunday morning carried the full story of the unprecedented ruling by the State Office of Administrative Hearings (SOAH) to award a Medicaid dentist back some $380,000 in legal fees from the Health and Human … Read More
