texas medicaid

Cash-strapped rural Texas hospitals have been closing at an alarming rate, but health care advocates are warning that the trend likely will accelerate under a proposed rule change for federal Medicaid funding that’s also forecast to deal big financial blows … Read More

Texas women have a healthcare problem. In 2017, Houston Public Media reported that 17 percent of Texas women live in poverty. In 2018, the Kaiser Family Foundation found that three in 10 Texas women are low-income, and almost one in … Read More

Texas Health and Human Services recently awarded DentaQuest a contract to continue providing dental managed care to enrollees in Texas Medicaid and CHIP programs. DentaQuest has been a partner to the State of Texas since 2012, providing Medicaid and CHIP … Read More

Many in Texas are keeping a close eye on the Republican bid to replace the Affordable Care Act. One of the big changes is how it would affect low-income people, seniors, and people with disabilities who get help from Medicaid. … Read More

Last night, Texas State Medicaid Director, Stephanie Muth, announced that she would be stepping down from her position in the agency. Muth began her career in Texas government nearly 20 years ago as a Legislative Aide in the Texas House … Read More

Health insurers Anthem, Cigna Corp. and Molina Healthcare stand to lose millions in premium revenue after losing ground in the Texas Medicaid Star+Plus program, a managed care program worth nearly $10 billion in premium revenue for managed care organizations. The … Read More

EDINBURG — Two men accused of defrauding Texas Medicaid nearly a decade ago entered not guilty pleas to charges of fraud Monday morning. Edinburg resident Osama Bachir Nahas, 64, faces four charges of Medicaid fraud while Pharr resident Gerardo Javier … Read More

WASHINGTON — The ranking member of the U.S. Senate health committee has complained for months about the Trump administration’s failure to look into Medicaid contractors that have reaped big profits while sometimes failing to provide crucial patient services. So last … Read More

Texas could feel a fiscal strain in the coming years due to growing Medicaid costs if economic growth slows and a recession sets in, according to a new report from S&P Global Ratings. The S&P “budget scorecard” examines the 2020-2021 … Read More

With seven days left until the sine die, the last day for the regular session of the Texas Legislature, lawmakers are poised to do nothing to help the state’s 5 million adults without health insurance – the largest in the … Read More

AUSTIN — About 50,000 Texas children are losing Medicaid coverage each year because their families fail to quickly send proof to the state they are still poor enough to qualify, state data show. Yet one in three children kicked off … Read More

Two Rio Grande Valley residents have been taken into custody for submitting fraudulent claims for payment to Texas Medicaid for durable medical equipment (DME) supplies that were never delivered to Medicaid beneficiaries, announced U.S. Attorney Ryan K. Patrick. A federal … Read More

McALLEN — The owner and an employee of a now-closed durable medical equipment, or DME business each made their first appearance before a federal magistrate judge in connection with healthcare fraud charges. Standing before U.S. Magistrate J. Scott Hacker a … Read More

McALLEN, Texas – Two Rio Grande Valley residents have been taken into custody for submitting fraudulent claims for payment to Texas Medicaid for durable medical equipment (DME) supplies that were never delivered to Medicaid beneficiaries, announced U.S. Attorney Ryan K. … Read More

In the last edition of TDA Today, the Texas Dental Association goes to bat for dental Medicaid providers on two issues. First, the publication reported that the TDA’s Council on Public Health and Access to Care met with HHSC (HHSC, … Read More

Since the Affordable Care Act was signed into law in 2010, America’s access to healthcare has improved dramatically. Roughly 20 million Americans have gained health insurance coverage. Medicare beneficiaries can now get free preventive care and pay less for prescription … Read More

DALLAS–(BUSINESS WIRE)–Today, the national law firm of Baron & Budd announced that AstraZeneca has agreed to pay $110 million to settle two whistleblower lawsuits brought by the State of Texas under the Texas Medicaid Fraud Prevention Act (“TMFPA”). The first … Read More

DALLAS–(BUSINESS WIRE)–Today, the national law firm of Baron & Budd announced that Endo Pharmaceuticals Inc. (“Endo”) has agreed to pay $13.25 million to settle a whistleblower lawsuit brought by the State of Texas under the Texas Medicaid Fraud Prevention Act … Read More

In a much-anticipated decision in Family Rehab., Inc. v. Azar, Federal Judge Kinkeade enjoined the Centers for Medicare & Medicaid Services (“CMS”) from withholding Medicare payments to effectuate the recoupment of the alleged overpayments until an administrative law judge (“ALJ”) … Read More

There’s a thing Texas Republican leadership could do. It would save the state money, keep its residents healthier and make Texas a more attractive place to live. It’s never going to happen, however, unless the politics in the state change … Read More

Thousands of members of the NAACP are in San Antonio this week for the organization’s annual convention.  Texas Public Radio’s Joey Palacios reports the gathering will focus on curbing racism and increasing voter turnout.  NAACP President Derrick Johnson says the tone of … Read More

A Texas couple is considering divorce so they can afford the health care bills for their 6-year-old child, WFAA reports. Maria and Jake Grey have been married for nine years, but have recently come to the conclusion that—at least on … Read More

It’s a shame that Texas’ political leadership likes to cast shade on a signature achievement of a fellow Texan who became one of America’s most productive presidents. They should instead heed the words of Lyndon B. Johnson, who in signing … Read More

State lawmakers spent hours Wednesday pressing state officials, along with private companies that manage health care for Medicaid recipients, about a recent investigation by The Dallas Morning News that revealed how Texas is failing to provide care to some of … Read More

From paralyzed Texans trapped in bed for hours on end to children denied care vital to keeping them alive, a recent investigation by The Dallas Morning News revealed how the state is failing to provide care for some of its … Read More

AUSTIN — A majority of Texas residents want the state to spend more on health care programs and expand Medicaid, according to the results of a recent poll. The study by the Kaiser Family Foundation and the Episcopal Health Foundation … Read More

We reviewed $141.6 million in increased payments made to 120 selected providers to determine whether the State agency made increased Medicaid payments appropriately. We determined that the 120 selected providers were eligible as primary care providers under Federal requirements. Therefore, … Read More

If you think the Republicans running our state government really believe in lowering our taxes and sending less of our money to Washington, think again. And think instead about what’s happening in Virginia and Maine. Our elected representatives in Austin … Read More

AUSTIN — The state has canceled five new managed-care contracts for low-income youngsters enrolled in the Children’s Health Insurance Program after finding errors in a spreadsheet used to evaluate bids. In addition, the Health and Human Services Commission on Monday … Read More

Texas ranks near the bottom of the list when it comes to dental health, according to a study conducted by WalletHub. According to the study, Texas ranks 42nd out of all 50 states in the U.S. in regards to care … Read More

File this one under “Be careful what you wish for.” Some states with conservative leaders might finally expand Medicaid to more of their residents – with the provision that they work as well. That’s actually a good deal, because it … Read More

The U.S. government shut down early Saturday morning after Congress and the president could not come to an agreement on how to continue funding. Late Friday night, a House funding resolution died in the U.S. Senate when Senate Republican leaders … Read More

The Trump administration is guaranteeing Texas $135 million to continue helping more than 450,000 uninsured children and pregnant women if Congress doesn’t renew authorization for the Children’s Health Insurance Program. Source: Texas to receive $135M to keep Children’s Health Insurance Program … Read More

AUSTIN — Gov. Greg Abbott’s administration is trying to avoid mailing health insurance cancellation notices to nearly half a million children three days before Christmas. Unless it can get $90 million more in federal funding, though, Texas will end its … Read More

It’s hair-on-fire time in Congress. Lawmakers responsible for looking out for folks back home are in a mad dash to get a mountain of past-due work completed by year’s end. Buried under the headline-grabbing controversies is one of life and … Read More

GLADEWATER – An East Texas family is fighting the state to keep their son alive. Three year old Asa Robinson was adopted with multiple medical conditions, including a hole in his heart and shaken baby syndrome. Charity Robinson said she … Read More

AUSTIN – Health and Human Services Executive Commissioner Charles Smith announced today Stephanie Muth will be the next State Medicaid director. She will oversee the Medicaid/CHIP Services division, which is the hub for the Texas Medicaid program. She will begin … Read More

HOUSTON, Oct. 19, 2017 /PRNewswire/ — Joel M. Androphy and Janis Gorton of the Berg & Androphy law firm, along with the United States and the State of Texas, have reached a $5 million settlement in False Claims Act litigation … Read More

Health officials are temporarily making it easier for children in Texas to access safety-net insurance in the aftermath of Hurricane Harvey and its devastating flooding. CMS emergency provisions approved Sept. 1 will allow Texas officials to lift eligibility and cost-sharing … Read More