Texas Dentists for Medicaid Reform continues to cover a number of major Medicaid due process issues in June relating to dental and orthodontic Medicaid spending in Texas.
Austin, Tx (PRWEB) June 30, 2014
Texas Dentists for Medicaid Reform continues to cover a number of major Medicaid due process issues in June relating to dental and orthodontic Medicaid spending in Texas. The organization continues to report on the fallout from the lawsuit filed by the Attorney General of Texas (D-1-GV-14-000581 Travis County District Court) in May against Xerox/ACS, the state's former Medicaid claims administrator lead contractor. The state is seeking to recover fraudulent Medicaid payments for orthodontic and dental services that were improperly approved by Xerox from 2003 forward.
The following stories were published in June:
*Xerox/TMHP “Dental Specialists” Trained Only to Add Up HLD Score
*Xerox Ortho Staff Worked from Home, Didn’t Review Material and HHSC Knew in 2008
*Former HHSC OIG Deputy Counsel Reported Internal Wrongdoing and Was Dismissed Per Lawsuit (D-1-GN-12-002004 Travis County District Court)
*Kyle Janek Rules – “Dentists Found Innocent by SOAH, Are Guilty” ( State Office of Administrative Hearings (SOAH) Docket No. 529-13-0997)
*HHSC Collecting SOAH Medicaid Provider Hearing Costs Because SOAH Worried About Funding
*Xerox Awarded $500 Million Medicaid Deal in NY Despite Texas AG Law Suit and HHSC Contract Cancellation
*HHSC Releases Deloitte Report “State of Texas Medicaid Payment Reform”
*HHSC/TMHP Comes Up Short $15 million on HHS Texas Medicaid Hospital Audit
Texas Dentists for Medicaid Reform is organized by dentists who are concerned about the future of dental care for the over three million Texas children eligible for Medicaid and how dental Medicaid providers are treated within the Texas Medicaid system. Since its inception in late 2012, TDMR has presented testimony before both House and Senate legislative committees and actively pursued the passage of legislation providing due process rights for all Medicaid providers. Such legislation was signed into law by Gov. Perry in June of 2013 and came into effect September 1st, 2013.