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2020 Medicaid Question & Answer Session Agenda

Posted on December 3, 2020 in Events

VIRTUAL ZOOM MEETING DECEMBER 5, 2020 12:00 pm – 3:00 pm

1. Welcome & Intro 
2. Overview of Medicaid 
   1. Federal 
      1. Centers for Medicare and Medicaid Services (CMS)
   1. State 
      1. Texas Health and Human Services Commission (HHSC)
      1. Texas Medicaid Healthcare Partnership (TMHP)
         1. DentaQuest
         1. MCNA
         1. United 
3. Current Texas Medicaid Discussion Points
   1. Funding 
   1. Fee Setting 
      1. Top to Bottom Benefits Review 
         1. SDF 
         1. Esthetic Crowns 
         1. Crossbite
   1. Claim Processing 
   1. Prior Authorization 
   1. Assignment of Main Dentist 
   1. Medical Necessity 
      1. Frew Lawsuit
      1. Hospital and General Anesthesia Coverage 
   1. Public Marketing Policy
      1. Solicitation 
         1. Office of the Inspector General (OIG)
            1. Fraud, Waste & Abuse
   1. Tele-Dentistry 
   1. Records 
      1. Audits 
4. Question and Answering