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
Judges: State botched fraud case, must pay $400K in feesAUSTIN, Texas (AP) – A panel of judges has determined that Texas regulators so badly botched a Medicaid fraud investigation of a dentist that they’re responsible for paying the nearly $400,000 … Read More
Texas regulators entered a courtroom late last year claiming they should be able to keep more than $300,000 confiscated from a Corpus Christi dentist they claimed defrauded the state through a Medicaid billing scheme. Source: State’s decisive legal loss could … Read More
Today, the Health and Human Services Commission announced that it has put up a new page on its website for Medicaid providers to comment and stay abreast of policy changes relating to Medicaid covered medical and dental treatments. The new … Read More
What’s that thundering coming from the Health and Human Services Commission building? It’s the sound of Executive Commissioner Kyle Janek’s top people running out the door. Since December — when the commission began burning in the spotlight because of millions of dollars … Read More
The company at the center of a state contracting scandal, Austin data analytics firm 21CT, has dismissed its $90 million defamation lawsuit against James Frinzi, the firm’s former lobbyist turned newspaper whistle-blower. Source: 21CT drops lawsuit against fired lobbyist James … Read More
Dr. Paul Dunn, a small town general dentist who practices orthodontics out of Levelland, has had a case outstanding with the Health and Human Services Commission Office of Inspector General since 2011. He has been under severe financial strain since … Read More
AUSTIN — The Texas Health and Human Services Commission again has fallen behind on a major data project that now has cost taxpayers $12 million over the past decade even though officials have not yet even chosen a contractor.Two weeks … Read More
The contracting reforms that Gov. Greg Abbott issued in January appear to have had such limited impact that they probably would not have prevented the 21CT scandal that prompted them. Public-Information records from 13 state agencies suggest that such policies … Read More
This past week, the Texas Health and Human Services Commission in its monthly In Touch newsletter announced that Deputy Executive Commissioner Chris Traylor is retiring as of May 31st. Traylor has been in the Texas public service for 25 years … Read More
AUSTIN — The second-in-command at the Texas Health and Human Services Commission has decided to retire, continuing a year of change at the state’s biggest bureaucracy. Chris Traylor plans to step down May 31, the agency announced in a newletter … Read More
Today, former Texas Health and Human Services chief counsel and former OIG deputy inspector general for enforcement Jack Stick was scheduled to be tried before a jury on his September 2012 charge for DWI. Once again, the trial has been … Read More
Two articles from the Houston Chronicle this last week should send shivers down the spine of every Texan about what kind of government his or her tax dollars are buying. The whole contracting fiasco in the Texas Health and Human Services … Read More
The state’s massive health and human services system would be partially consolidated under a bill heard by the House Human Services Committee on Monday evening. Under House Bill 2304 by Four Price, R-Amarillo, three of the state’s five health and human … Read More
AUSTIN – A sophisticated software program crunched through a sea of Texas hospital records in July 2013, instantaneously comparing payment records against Medicaid rules to identify $4.4 million in questionable spending and start a process that eventually returned the money … Read More
AUSTIN – A renewed effort to evaluate state contracting oversight could end up illustrating an uncomfortable reality, former lawmakers and government watchdogs say: even the strictest of safeguards will not work if not taken seriously by agency officials. Despite an … Read More
Health care providers who say they’ve been unfairly targeted by Texas Medicaid fraud investigators tallied a win Tuesday when the Senate passed a bill to crack down on that office and give doctors room to push back against bogus fraud … Read More
The Senate passed a bill Tuesday that seeks to revamp the state agency that investigates fraud, waste and abuse in Medicaid and other state health services. The Office of Inspector General at the Health and Human Services Commission is supposed … Read More
AUSTIN — A new bill to curb alleged abuses of an organization that is itself supposed to police abuses got Texas Senate approval Tuesday. Senators voted 30-0 to pass Senate Bill 207 by state Sen. Juan “Chuy” Hinojosa, D-McAllen, which … Read More
