According to the latest online Health Resources & Services Administration statistics, Texas ranks behind California, Arkansas, Missouri, and Florida as the states with the most dental health professional shortage areas (DHPSAs). Texas currently has 265 areas designated as such. The HRSA … Read More
And the story rolls on. The Delaware Supreme Court this week ruled against insurance giants AIG, ACE, and Lexington Insurance, upholding a lower court’s decision to order a new trial in their dispute with Conduent State Healthcare (ACS/Xerox/Conduent) over coverage … Read More
A January 2025 oral health survey conducted and published by personal finance website WalletHub has ranked Texas as one of the states (the District of Columbia was included in the survey) with the worst oral health in the country. Source: … Read More
Texas is grappling with a critical shortage of healthcare workers, including dental professionals, exacerbating dental access and provider issues across the state. A recent Newsweek article, “How Texas Could Solve Its Health Care Worker Crisis,” highlighted these problems, mentioning a Becker’s … Read More
TDMR received this story from Dr. Hector Alvarez in Eagle Pass earlier this month. We found it informative and inspiring in his and his family’s dedication to helping the underserved and needy in his county. It speaks to the quality … Read More
According to a news item on the Husch Blackwell website, Texas filed suit against the federal government on December 11 to stop the recoupment of $83 million in Medicaid payments given to hospitals several years ago. The issue revolves around … Read More
The Texas Health and Human Services Commission (HHSC) plans to request $300 million from the state legislature to address extensive delays in processing Medicaid applications. This funding would facilitate hiring over 1,000 new employees and modernizing the outdated and heavily … Read More
In the Texas Health and Human Services Commission (HHSC) hearing held on November 12 about the proposed rate changes to the Medicaid dental fee schedule, eleven dental professionals, including a representative of the Texas Dental Association, testified, either in person … Read More
ACS State Healthcare and Conduent State Healthcare LLC have filed an appeal with the Texas Supreme Court, hoping to prevent a trial in which it must defend its flawed Medicaid prior authorization process, which rubber-stamped hundreds of millions of dollars … Read More
While DentaQuest limits its Medicaid network in Texas and threatens to boot over 100 providers from its network in urban areas, yesterday, its Canadian parent company, Sun Life Financial Inc., crowed about its share price reaching an all-time high, boosted … Read More
California has problems. We all know about them. Now, they’ve added DentaQuest as another one for their Medicaid (Medi-Cal) program to the apparent detriment of state dental providers, considering the company’s situation in Texas, Louisiana and other states. This past … Read More
TDMR has received a missive from a concerned dentist, which we are publishing. It sums up the frustration and intense concern about DentaQuest’s recent actions in limiting its network, including a threat to remove over 100 urban providers. This prodigious … Read More
It is a common misconception that your voice does not matter in big government. Unfortunately, it is that misconception that allows big governments to continue in a state of blissful unawareness about the need for change in their policies and … Read More
In our last article regarding the HHSC Provider Finance department biennial review of Medicaid dental fees, we published a letter sent to HHSC by a dentist to complain about the lack of real increase in rates made. Hot issue We … Read More
Texas Health and Human Services Provider Finance quietly posted its much anticipated legislated biennial review of Medicaid dental fees early last week. Well, maybe it was earlier, but it was only noticed early last week. It was found tucked into … Read More
Our story on foreign-owned DentaQuest’s limitations on dental care access for Medicaid children in Texas has sparked outrage among dental providers, leading to an outpouring of angry comments. Many practitioners shared their frustrations and experiences, highlighting how the restrictive policies … Read More
In a stunning move last week, DMO DentaQuest sent out a letter (copy below) to its Medicaid provider network that as of October 15, it would “be limiting the number of additional” general and pediatric dentists into its network in … Read More
The Sunshine State now joins the growing list of states that have recently increased dental Medicaid rates. Florida’s commitment to “live healthy” for its citizens On October 1, several health care bills came into effect in Flordia called the ‘Live … Read More
REPUBLISHED FROM THE TEXAS TRIBUNE Texas officials acknowledged some errors after they stripped Medicaid coverage from more than 2 million people, most of them children. A ProPublica and Texas Tribune review of records shows that these mistakes and others were … Read More
TDMR is pleased to announce that we received confirmation today from Texas Health and Human Services that, as of yesterday, DentaQuest is no longer paying a one-surface fee for non-interproximal two-surface fillings and will be reprocessing previously denied claims. Win … Read More
