Austin: (PR Web): Two administrative law judges with the Texas State Office of Administrative Hearings (SOAH) have issued their proposal for decision in the case of Antoine Dental Center of Houston (ADC) SOAH Docket No. 529-13-0997. ADC had been placed … Read More
The Office of the Inspector General website now has a report detailing the 2012 fraud detection and recovery activity of all managed care organizations (MCOs) that participate in Texas Medicaid. Under Texas Government Code, Section 531.113, the MCOs are required … Read More
Even proponents of the Affordable Care Act admit the rollout of its signature website, healthcare.gov, has been rocky. But the Texas Hospital Association said Monday that criticisms of the website are a distraction from more significant problems with health care … Read More
They haven’t even won their respective primaries yet, but the leading candidates for Texas governor — Republican Attorney General Greg Abbott and Democratic state Sen. Wendy Davis — are engaged in a bitter fight in federal court. Abbott and Davis Fight Before Fight … Read More
As consumers weigh coverage options available in the newly launched federal health insurance marketplace, three of the largest medical associations in Texas have raised concerns about the uncertainty of provider networks offered by health plans in the marketplace. Full story … Read More
Kennard Law, P.C. based in Houston, Texas and with offices in San Antonio, El Paso, and the Rio Grande Valley, has filed suit against ACS/Xerox for unpaid overtime wages. The firm, which specializes in employment law, filed the suit on … Read More
by Becca Aaronson, The Texas Tribune October 16, 2013 Texas has the greatest number of poor, uninsured adults who will fall in a “coverage gap” created by states that chose not to expand Medicaid eligibility under the Affordable Care Act, according … Read More
At the recent Texas Tribune Tribunefest on health care held between September 27th to 29th, there were a number of interesting sessions. The second session moderated by Tribune health care reporter Becca Aaronson discussed Medicaid. Entitled, “The Fight of Over … Read More
by Becca Aaronson October 15, 2013 Texans discovered nearly two years ago that the state was spending more on orthodontic claims in its Medicaid program than the other 49 states combined, but recovery of millions in purportedly misspent Medicaid money … Read More
Nearly two years after news broke that Texas spent more on orthodontic claims in its Medicaid program than the other 49 states combined, the Health and Human Services Commission’s Office of Inspector General is barely knee deep in its effort … Read More
The health care track at the Texas Tribune Festival featured panel discussions on the Affordable Care Act, Medicaid, new developments coming out of Texas, and abortion and women’s health. TribuneFest: Audio From the Health Care Track | The Texas Tribune.
AUSTIN – Families with children who might qualify for Medicaid or the Children’s Health Insurance Program (CHIP) should apply for children’s coverage through the state to avoid a delay in getting help because of problems with the new federal exchange. … Read More
TDMR has put together this article to give dental and other Medicaid providers some common language understanding of the provisions of Senate Bill 1803 now in force to protect their due process rights. We have used the text of … Read More
As the U.S. Census Bureau released new statistics showing Texas again ranks highest for the percentage of people without health insurance, Gov. Rick Perry quietly laid out the next moves in his ongoing effort to derail Obamacare. “We made the … Read More
A push for stricter training requirements for insurance “navigators,” who will help uninsured residents sign up for health coverage, is fueling the latest political clash over the Affordable Care Act in Texas. In Texas, “Navigator” Training Becomes Political Football … Read More
There is very little commentary on the TDMR website in relation to the DWI arrest last September of Jack Stick, former State Rep and Bee Cave judge who is the Deputy Inspector General for Enforcement for HHSC-OIG. As his case … Read More
September 23, 2013 — A Texas judge has ordered the state to return $1.3 million that was withheld from Harlingen Family Dentistry (HFD) based on unfounded allegations of fraud on orthodontic Medicaid billings. Travis County Judge Amy Clark Meachum has … Read More
This morning the San Antonio Express published a feature article headlining the case of Harlingen Family Dentistry and Dr. Juan Villarreal and his fight against the Office of Inspector General and their “credible allegation of fraud” payment holds. Reporter Jeremy … Read More
SPECIAL TO THE EXPRESS NEWS- HARLINGEN,Tx July 30,2013- Dr. Juan Villarreal, a dentist at Harlingen Family in Harlingen Texas gets ready to check a patient at his office Tuesday July 30,2013. Photo by Delcia Lopez via In Medicaid, docs guilty … Read More
A Travis County judge has awarded more than $22,000 in legal fees to an Amarillo law firm that helped expose more than $1 million in Medicaid fraud at a local orthodontics clinic. Amarillo attorney Phil Russ, who represented three former … Read More
Harlingen Family Dentistry has won a tremendous legal victory this week. Travis County District Court Judge Amy Clark Meachum has granted HFD’s motion for a writ of mandamus to force the Office of Inspector General to return more than $1 … Read More
Whether they have a good income or a lower one, Texans lag behind much of the nation in access to and quality of health care. May need subscription to reach story. Texans lag in health care access and quality, regardless … Read More
Texas continued to have the highest rate of people without health insurance in 2012 at 24.6 percent, according to the Current Population Survey estimates released by the U.S. Census Bureau on Tuesday. Full story, click on the link. Texas … Read More
Back on September 5th, the Texas Tribune hosted a conversation on the future of Latino health care with Dr. Esteban López, a regional president for Blue Cross Blue Shield of Texas, Dr. Amelie Ramirez, director of the Institute for Health … Read More
Gov. Rick Perry is preparing for yet another battle in his war against Obamacare. In a letter to the state’s health agency on Monday, the governor laid out his plan to request a federal waiver to reform Medicaid as Texas … Read More
The Health and Human Services Commission has put online its self-report to the Sunset Commission as HHSC is coming up for review by the Commission this coming year. The link below will take you to the HHSC website where you … Read More
Here are the latest statistics just released by HHSC. Children Enrolled in Medicaid, CHIP and CHIP Perinatal Programs by Month Month Children Enrolled in Medicaid¹ Children Enrolled in CHIP² Children Enrolled in CHIP Perinatal Coverage Total Children Enrolled Sep-13 2,511,311 … Read More
Despite strong opposition to the federal Affordable Care Act by Gov. Rick Perry and other state leaders, Texas has still received nearly $100 million in grants through the law. And as U.S. Sen. Ted Cruz campaigns to defund Obamacare, the majority of the grants — … Read More
This past week State Office of Administrative Hearings (SOAH) Judge Roy G. Scudday ruled that Christine Ellis and her qui tam lawyers had no standing to appear in a hearing regarding an HHSC-Office of Inspector General payment hold placed on … Read More
Ever wonder why Medicaid and Medicare rates are so low or why there was a Frew lawsuit? What about the future for reimbursement rates for Medicaid or Medicare health care providers in Texas? No need to wonder. Here’s your answer. … Read More
On August 27, I talked with U.S. Rep. Michael Burgess, R-Lewisville, state Rep. Donna Howard, D-Austin, and Kyle Janek, executive commissioner of Texas Health and Human Services, about where the state goes next on health care. To see the video interview, follow … Read More
South Texas Dental, which operates family dental centers in Houston, Dallas, Fort Worth and San Antonio, has acquired the 12 offices of the All Smiles general dentistry practice in North Texas. Financial terms of the transaction were not released. Three … Read More
Some members of Congress are alarmed by our latest investigative report on Dr. Tariq Mahmood’s hospitals. The story, published Sunday, showed that regulators gave the six Texas hospitals nearly $18 million in economic stimulus funds for switching to electronic medical records … Read More
State lawmakers approved a wide range of measures in the 83rd legislative session that will affect Texans’ medical care. Use this interactive to take a look at 31 ways those laws will change Texas health policy. Full story click below. … Read More
Gov. Rick Perry’s office is disputing reports that the state is negotiating with the federal government to draw down $100 million in additional financing under a rule created by the Affordable Care Act. Politico reported on Tuesday that Texas is taking advantage of … Read More
By calling for a program that encourages the reuse of equipment like wheelchairs and hospital beds that were bought with Medicaid dollars, legislators hope that they are creating a new way for the state to save money. Senate Bill 1175, … Read More
A former investigator for the Texas Health and Human Services Commission was sentenced to federal prison for theft violations in the Eastern District of Texas, announced U.S. Attorney John M. Bales on Friday, Aug. 9. Melva Darlene Blakemore, 62, of … Read More
San Antonio defense attorney Michael McCrum has been appointed to investigate a complaint alleging that Gov. Rick Perryabused his power and violated state law when he threatened to cut funding for the state’s Public Integrity Unit unless the district attorney who … Read More
AUSTIN — A San Antonio senior judge confirmed Thursday that he will appoint a special prosecutor to investigate possible charges of abuse of office and coercion against Gov. Rick Perry. Judge Robert “Bert” Richardson said he expected to select someone … Read More
Texas on Thursday received almost $11 million in federal grants to fund organizations designated to spread the word about the new Health Insurance Marketplace, which begins enrollment Oct. 1 — only 46 days away. That’s about $2.7 million more than the state expected to … Read More
