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Joint Report on Corporate Practice of Dentistry In The Medicaid Program July 2013

Joint Report on Corporate Practice of Dentistry In The Medicaid Program July 2013

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Published by Dentist The Menace
Senators Max Bacus and Chuck Grassley Report on Corporate Practice of Dentistry In The Medicaid Program - released July 2013 - reveal on going child abuse and Medicaid fraud by Small Smiles and other corporate dental chains.

Senators Max Bacus and Chuck Grassley Report on Corporate Practice of Dentistry In The Medicaid Program - released July 2013 - reveal on going child abuse and Medicaid fraud by Small Smiles and other corporate dental chains.

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Published by: Dentist The Menace on Jul 23, 2013
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11/05/2013

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U
.
S
.
GOVERNMENT PRINTING OFFICEWASHINGTON
:
For sale by the Superintendent of Documents, U.S. Government Printing OfficeInternet: bookstore.gpo.govPhone: toll free (866) 512–1800; DC area (202) 512–1800Fax: (202) 512–2104Mail: Stop IDCC, Washington, DC 20402–0001
1
81–510
COMMITTEE PRINT
 " !
113
TH
C
ONGRESS
 
1st Session
S. P
RT
.
2013
 113–16
JOINT STAFF REPORT ONTHE CORPORATE PRACTICE OF DENTISTRY IN THE MEDICAID PROGRAM
P
REPARED BY THE
S
TAFF OF THE
 
COMMITTEE ON FINANCEUNITED STATES SENATEM
 AX 
B
 AUCUS
,
Chairman
 AND
 
COMMITTEE ON THE JUDICIARY UNITED STATES SENATEC
HUCK 
G
RASSLEY 
,
 Ranking Member
JUNE 2013Printed for the use of the Committee on Finance
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      c      o      n      g      r      e      s      s  .       #       1       3
 
COMMITTEE ON FINANCE
MAX BAUCUS, Montana,
Chairman
JOHN D. ROCKEFELLER IV, West VirginiaRON WYDEN, OregonCHARLES E. SCHUMER, New YorkDEBBIE STABENOW, MichiganMARIA CANTWELL, WashingtonBILL NELSON, FloridaROBERT MENENDEZ, New JerseyTHOMAS R. CARPER, DelawareBENJAMIN L. CARDIN, MarylandSHERROD BROWN, OhioMICHAEL F. BENNET, ColoradoROBERT P. CASEY, Jr., PennsylvaniaORRIN G. HATCH, UtahCHUCK GRASSLEY, IowaMIKE CRAPO, IdahoPAT ROBERTS, KansasMICHAEL B. ENZI, Wyoming JOHN CORNYN, TexasJOHN THUNE, South DakotaRICHARD BURR, North CarolinaJOHNNY ISAKSON, GeorgiaROB PORTMAN, OhioPATRICK J. TOOMEY, Pennsylvania A 
MBER
C
OTTLE
,
Staff Director
C
HRIS
C
 AMPBELL
,
 Republican Staff Director
COMMITTEE ON THE JUDICIARY 
PATRICK J. LEAHY, Vermont,
Chairman
DIANNE FEINSTEIN, CaliforniaCHARLES E. SCHUMER, New YorkDICK DURBIN, IllinoisSHELDON WHITEHOUSE, Rhode Island AMY KLOBUCHAR, Minnesota AL FRANKEN, MinnesotaCHRISTOPHER A. COONS, DelawareRICHARD BLUMENTHAL, ConnecticutMAZIE HIRONO, HawaiiCHUCK GRASSLEY, IowaORRIN G. HATCH, UtahJEFF SESSIONS, AlabamaLINDSEY GRAHAM, South CarolinaJOHN CORNYN, TexasMICHAEL S. LEE, UtahTED CRUZ, TexasJEFF FLAKE, ArizonaB
RUCE
 A. C
OHEN
,
Chief Counsel and Staff Director
OLAN
D
 AVIS
,
 Republican Chief Counsel and Staff Director
(
II
)
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(III)
C O N T E N T S
Page
I. Preface............................................................................................................1II. Executive Summary.......................................................................................1 A.CSHM .......................................................................................................2B.ReachOut Healthcare America ...............................................................3III. Key Findings..................................................................................................6IV. Church Street Health Management and Small Smiles Dental Centers 7 A.Corporate Structure ................................................................................8B.The Influence of Private Equity .............................................................11C.Federal Government Intervention .........................................................12D.Committee Staff Site Visit to Small Smiles of Oxon Hill, Maryland ..13E.CSHM Repeatedly Fails to Meet Quality and Compliance Stand-ards .............................................................................................................171.Phoenix, Arizona Independent Monitor Report ..............................172.Manassas, Virginia Independent Monitor Report ..........................183.Oxon Hill, Maryland Small Smiles Clinic ......................................204.Oxon Hill, Maryland Small Smiles Overpayment ..........................215.Youngstown, Ohio Clinic ..................................................................21F.Health and Human Services Office of Inspector General Notice of Intent to Exclude .......................................................................................22G.Continuation of Abuses Following the Health and Human ServicesOffice of Inspector General Notice of Intent to Exclude and NewOwnership ..................................................................................................261.Florence, South Carolina Independent Monitor Report ................272.Lynn, Massachusetts Independent Monitor Report .......................283.Mishawaka, Indiana Independent Monitor Report ........................284.Colorado Springs, Colorado Independent Monitor Report .............29 V. Dental Demographics....................................................................................30 VI. Recommendations..........................................................................................32 Appendix ...............................................................................................................35Exhibit 1 ........................................................................................................35Exhibit 2 ........................................................................................................40Exhibit 3 ........................................................................................................74Exhibit 4 ........................................................................................................142Exhibit 5 ........................................................................................................158Exhibit 6 ........................................................................................................162Exhibit 7 ........................................................................................................188Exhibit 8 ........................................................................................................194Exhibit 9 ........................................................................................................204Exhibit 10 ......................................................................................................211Exhibit 11 ......................................................................................................254Exhibit 12 ......................................................................................................279Exhibit 13 ......................................................................................................297Exhibit 14 ......................................................................................................301Exhibit 15 ......................................................................................................307Exhibit 16 ......................................................................................................350Exhibit 17 ......................................................................................................397Exhibit 18 ......................................................................................................425Exhibit 19 ......................................................................................................427Exhibit 20 ......................................................................................................429Exhibit 21 ......................................................................................................453Exhibit 22 ......................................................................................................459Exhibit 23 ......................................................................................................469Exhibit 24 ......................................................................................................504Exhibit 25 ......................................................................................................509
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