U.S. and state authorities recently filed a lawsuit in U.S. District Court for the District of Connecticut against two dentists and the practices they operated in Connecticut for allegedly engaging in a Medicaid kickback scheme. The dentists and the practices received Medicaid reimbursements stemming from kickback-tainted patient claims between April 1, 2018, to Jan. 12, 2020. Read more here.
Providers News and Updates
A Connecticut Medical Assistance Program Workshop
This workshop will provide a refresher about new or current Connecticut Medical Assistance Program policies and procedures related to the basic understanding of the Connecticut Medical Assistance Program. September, 10th 2024, @ 9:30 a.m. ET. Register by September, 5th.
P.E.R.I.O.: Patient Empowerment to Reduce Inferior Outcomes
This webinar reviews key strategies to emphasize the impacts of periodontal disease on oral and overall health and the critical importance of effective and timely diagnosis and treatment as well as optimal strategies for long-term maintenance of treatment outcomes. Tuesday, July 16, 2024 @ 7 p.m. ET
Recoupment of Interim Payment:
The Department of Social Services (DSS) has been monitoring claim levels for all providers that received an interim payment due to the Change Healthcare Cyber Attack and has determined that most providers are back to normal payment levels based on their claim cycle payments in April and May. Those providers determined to be back at their normal payment levels will have the full interim payment recouped in the May 24, 2024 claim cycle. Providers will see this in their Remittance Advice (RA) dated May 29, 2024. DSS will continue monitoring all other provider claim levels. Providers should expect to see the interim payment recouped in full in a future claim cycle, no later than September 30, 2024.
A new workshop has been scheduled for newly enrolled providers or new business office staff. The workshop will be presented virtually, on June 12th at 9:30am by the Department of Social Services and Gainwell Technologies. Registration due date is June 6th.
Your partners in the HUSKY Health (Medicaid) program thank you for your ongoing adherence to Medicaid Program Regulations and Guidance. Not all have been as diligent.
Dr. Bicuspid recently (4/17/24) published an article: 2 dentists, practices sued by U.S., state authorities.
A funding assistance program is available to dentists impacted by the cyberattack on Change Healthcare.
The Feb. 21 attack is preventing many dentists from sending electronic claims and attachments to insurance companies to receive payment. Change Healthcare, owned by UnitedHealth Group, is one of the largest health care technology companies in the U.S.