The Texas Health and Human Services Commission, which manages the program at the state level, began imposing strict limitations on the types of services for which school districts are able to request federal reimbursement.
All tagged medicaid
Texas Removed Millions from Medicaid
Texas officials acknowledged some errors after they stripped Medicaid coverage from more than 2 million people.
An Estimated 1.8 million Texans Will be Dropped from Medicaid Program
Affected Texans who receive Medicaid coverage would be shifted to new insurers next year.
Stricter At-Home Nursing under Medicaid Couold Affect Families
Some children who receive private duty nursing, a more continuous type of medical care in their homes, could lose their ability to live at home if an HHSC rule change goes into effect.
Proposed Changes to State Medicaid Plans
The move, which has not been finalized, would drop three large health plans run for two decades by nonprofit children’s hospitals.
900,000 Texans Have Lost Medicaid and SNAP Benefits
While some individuals have become ineligible because their incomes increased or they were children who aged out of the program, a majority — more than 600,000 — have been disenrolled in Texas because of procedural errors.
Medicaid Fraud Control Unit Helps Secure Swift Conviction
Osemwengie played a supporting role as part of a larger home health conspiracy that resulted in $17.7 million in fraudulent Medicare and Medicaid billings.
60-Month Prison Sentence for Home Health Care Fraudster
his was done despite the fact that the individuals did not qualify for the services, or even receive services at all in some cases.
17-Year Prison Sentence for Fraudster Pharmacist
Anthony Obute, the owner and pharmacist in charge of Keystone Pharmacy in Houston, conspired in an opioid drug diversion scheme with Dr. Shivarajpur Ravi, who operated a pain management clinic.
Woman Attempted to Defraud Medicaid of Over $615,000
Medicaid Fraud Control Unit secured a conviction for a woman who attempted to steal over $615,000 by submitting fraudulent reimbursement claims for services that were never provided.
HHSC Resumes Medicaid Eligibility
Federal guidance requires states to conduct a renewal determination for all Medicaid recipients over a 12-month period, and HHSC anticipates it will complete this process by May 2024.
Medicaid Fraud Unit Results in $1.1M in Restitution
Melody Ann Villarreal and Oscar Gutierrez, Jr. were both found guilty of submitting fraudulent run sheets for ambulance transports that did not occur and submitting them to both Medicare and Medicaid for payment.
Planned Parenthood can no Longer Accept Medicaid
The extension comes after the U.S. 5th Circuit Court of Appeals sided with Texas officials.