Updated: 3:00 p.m. Wednesday, Feb. 24, 2016 | Posted: 9:08 a.m. Wednesday, Feb. 24, 2016The state’s top criminal court on Wednesday threw out the remaining criminal charge against Rick Perry, sparing the former governor from trial and a potential prison sentence on … Read More
They say you shouldn’t mess with Texas. Those submitting fraudulent claims to the state’s Medicaid program should heed that advice. According to new Medicaid Fraud Control Unit (MFCU) statistics and an interactive map released by the Office of Inspector General, the … Read More
The Texas health commission finally has chosen a company to run a long-delayed massive data project, awarding it to the same firm whose tentative contract was canceled in 2014. The commission disclosed this week that it had decided to award … Read More
UPDATE: The Travis County Public Integrity Unit has forwarded the criminal investigation into the 21 CT matter to another undisclosed investigative unit. Per the Unit’s head, the investigation is starting to move faster and was moved for reason of expertise … Read More
They met on an airplane in the spring of 2011 – the CEO of an Austin technology company and a Texas state official who found themselves seated next to each other and began talking about movies, and then work. Irene … Read More
A Texas Ethics Commission opinion that would have allowed Texas Attorney General Ken Paxton to fund his ongoing legal battle through out-of-state donors failed to pass by one vote Monday.The commission was asked anonymously if an individual working in the attorney … Read More
There have been many changes for Medicaid dental providers over the last few years. The change from fee-for-service to managed care. The upheaval caused by the former Health and Human Services Commission Office of Inspector General and rampant allegations … Read More
WHY WE DID THIS STUDY Medicaid is the primary source of dental coverage for children in low-income families and provides access to dental care for approximately 37 million children. However, access to dental care for children with Medicaid has been … Read More
WICHITA FALLS, TX – (KAUZ) -When it comes to dentists in Texas there is more than 254 areas in the state where dental care is scarce, and according to The Texas Department of State Health Services smaller markets are being … Read More
Research and Statistics If you use assistive technology, such as a screen reader, but are unable to read the information in these reports, please e-mail the webmaster to request an alternate format. CHIP and Medicaid Children’s Health Coverage (XLS) Texas … Read More
Texas has violated the constitutional rights of foster children by exposing them to an unreasonable risk of harm in a system where children “often age out of care more damaged than when they entered,” a federal judge ruled Thursday. “Years … Read More
December 14, 2015 — When it comes to oral health in the U.S., it’s easy to focus on the work that still needs to be done. However, a hefty new ADA Health Policy Institute (HPI) report details a promising trend … Read More
The Texas Health and Human Services Commission sent out an email notification this morning that it is holding a number of public forums about the restructuring of the agency and requesting stakeholder input. We strongly suggest that Medicaid providers take … Read More
A suit to compel the Texas Health and Human Services Commission to release the full list of names of Medicaid providers that have been placed under a “credible allegation of fraud” payment hold since 2010 has been filed in Travis … Read More
November 30, 2015 — If you pay your hygienist a guaranteed salary, it could be hurting your practice. Surprised? Think about it. While you know exactly how much you need to pay your hygienist each month and your hygienist knows … Read More
Health and Human Services (HHS) transformation presents an opportunity to restructure the Texas HHS system to make it more functional, efficient, effective and responsive. As this two-year transformation process unfolds, HHS agencies will be asking for input from stakeholders: the … Read More
As TDMR reported back at the end of September, the new Health and Human Services Commission Inspector General Stuart Bowen had started settling outstanding investigations and cases against Medicaid dentists and providers. Senator Charles Perry was quoted in the media … Read More
Republicans are openly feuding over whether to seek drastic changes to Medicare, Social Security and other entitlement programs, risking a potentially damaging intraparty battle ahead of the 2016 elections. The rift was exemplified this week by the GOP stars of … Read More
AUSTIN – Texas Health and Human Services Executive Commissioner Chris Traylor announced today Dr. John Hellerstedt is returning to the HHS system Jan. 1, this time as commissioner of the Texas Department of State Health Services.Hellerstedt, who last served the … Read More
In his first State of the State address to the Texas Legislature in early 2015, newly elected Gov. Greg Abbott challenged lawmakers to dedicate their unfolding 140-day session to ethics reform, asserting that “the most important commodity that we have … Read More
Texas could bring home $7 billion annually in federal dollars and cover more than a million uninsured U.S. adults today. Instead, Texans are stuck in the health care “coverage gap” — lacking the uninsured’s access to health insurance because they … Read More
November 6, 2015 — Adults enrolled in Medicaid may be living with unresolved dental problems, according to a new study. Almost half of the adults in the study who visited an emergency department (ED) for dental care did not visit … Read More
Gary Jessee, a 20-year veteran of state service, will be Texas’ new state Medicaid director, Health and Human Services Executive Commissioner Chris Traylor announced Oct. 30. Jessee, who has served three years as the Medicaid/CHIP Division’s chief deputy director for … Read More
The editorial board of the Austin American Statesman has called the decision by Texas “lawmakers and state officials” to investigate Planned Parenthood for Medicaid fraud part of a “witch hunt” that won’t stop until the health care provider “is completely dismantled … Read More
If Planned Parenthood has been billing Texas Medicaid for services it hasn’t been rendering, as Gov. Greg Abbott and state health officials suggested this week, it makes sense to cut off the money and go after the organization for whatever it stole. But … Read More
As Congress stalls in its attempts to defund Planned Parenthood, a handful of states have succeeded in hitting the organization where it hurts. Texas announced Monday it will strip Planned Parenthood of its Medicaid funds after a 3-year video investigation captured … Read More
Advocates of Medicaid expansion in Texas often highlight our state’s record of the largest uninsured population in the nation, according to a recent U.S. Census Bureau report. Though the uninsured rate is falling, advocates say, it would fall even faster … Read More
Texas was within eight days of slashing the amount of money it pays therapists for poor and disabled children when a state district judge last month stepped in and blocked the move. It was the latest round in a high-profile … Read More
Last Friday, the Health and Human Services Commission sent out a notice that it had “updated its Medicaid Medical and Dental Policy web page by posting stakeholder comments and HHSC responses for the THSteps Diagnostic Dental Services policy in development.” … Read More
Following an outcry from dozens of state lawmakers, Texas’ top health agency announced Thursday it will make less drastic cuts than originally planned to a therapy program for children with disabilities, even if that means spending more than lawmakers budgeted for the … Read More
The gap in dental care utilization in the U.S. narrowed between children enrolled in Medicaid and those with private dental benefits from 2005 to 2013, but a large gap remains between adults in those categories, according to a new research … Read More
As reported in the press this week, there has been a tremendous effort on the part of the new Health and Human Services Commission Inspector General Stuart Bowen to settle old, outstanding investigations against Medicaid providers—including dentists. Per the Chronicle, … Read More
A Travis County judge has temporarily blocked the state from reducing funding for a Medicaid-backed therapy program for thousands of Texas kids with special needs, ruling on Tuesday that there was enough reason to believe the Texas Health and Human … Read More
If there is a poster child for dysfunction in Texas government, look no further than the agency Stuart Bowen inherited in January. The Office of Inspector General over the state’s sprawling health agency, charged with investigating Medicaid fraud and waste, … Read More
Costs almost always spiral higher on big government projects because of “deception and mismanagement” by Congress, federal managers and contractors, according to scholars at the Cato Institute. “Cost overruns on large government projects are pervasive,” wrote Chris Edwards and Nicole … Read More
The recent decision by a Travis County District Court judge that again vindicated Antoine Dental Center of Houston on allegations of Medicaid fraud and vacated a three-year “credible allegation of fraud” payment hold has been appealed by the Civil Medicaid … Read More
Medicaid rate cuts for therapy providers, which state lawmakers authorized during the recent legislative session in an effort to control Medicaid spending, have prompted a lawsuit against the state by some providers and patients who question the data the state … Read More
The Texas Health and Human Services Commission made $377 million in Medicaid electronic health record incentive payments to hospitals in 2011 and 2012, but at least $12.5 million of that was made in violation of state and federal regulations, according … Read More
The Health and Human Services Commission (HHSC) is asking for comments on a proposed new advisory committee structure. In response to Sunset legislation approved during the most recent legislative session, HHSC conducted a comprehensive analysis of 132 existing advisory committees. This … Read More
Channel 8’s Byron Harris announced Friday that he’ll retire in October. Ed Bark posted a solid story Monday about the investigative reporter and his 40 years at the TV station. I’d like to go in a slightly different direction. Harris … Read More
