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texas medicaid

DME owner sentenced in Medicaid fraud case


MCALLEN, Texas – Anna Ramirez-Ambriz, owner of Compassionate Medical Supply in Edinburg, Texas, has been sentenced to 78 months in jail and ordered to pay more than $3 million in restitution for fraudulently billing Texas Medicaid for incontinence supplies.

Texas providers beat back rate cuts


AUSTIN, Texas – Providers in Texas have staved off reimbursement cuts proposed by Superior HealthPlan, a managed care company that oversees part of the state’s Medicaid program.

Update in Texas: Nerves rattled as contract’s start date approached

New twist: Superior HealthPlan posts info about forthcoming RFP for new value-based DME network

AUSTIN, Texas – The state Medicaid program may have forced Superior HealthPlan to modify its contract with Medline for DME and supplies, but providers say, in reality, they fear not much has changed.

Texas: Is equipment reuse program a non-starter?


DALLAS – The state’s plans to create a reuse program for home medical equipment just don’t make sense, say HME providers. 

OIG tackles bid savings and improper payments


WASHINGTON – The Texas Medicaid program could have saved $2 million in the Dallas/Forth Worth area alone if it had used competitive bidding pricing for certain DME items in fiscal year 2011, according to a new study from the Office of Inspector General (OIG).