State Lawsuit Against Xerox for Medicaid Ortho Billings Moving Forward

xerox -hhscBack 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 Medicaid orthodontic treatment for which it gave prior authorization.

To recap, the lawsuit alleges that the company simply “rubber stamped” almost all such treatment requests and did not employ qualified personnel to review them.  A number of Medicaid dentists, who have been severely affected by the company’s actions, joined in the suit.

Xerox denies the allegations and says that the state both knew and approved of its methods.  To date, apparently, the Office of Attorney General which is pursuing the company for the state, has not responded to the company’s requests for evidence or information about the allegations.

The federal government has determined that the state needs to pay back $133 million due to this fiasco.

Company and HHSC representatives to be deposed

Depositions in the case have been scheduled for September 15 and October 15.  A representative from Xerox who was responsible for the Medicaid orthodontic prior authorization program will be deposed. Lawyers from both the state and the dentists will have an opportunity to get first-hand information about that program and how it was structured and operated.

A representative from the Health and Human Services Commission who was the corporate rep for Xerox is also scheduled to be deposed.   The company will have the chance to show that the state was fully aware of its program and how it was operated.

Fireworks are expected, but may be delayed due to motions to delay or quash.

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