Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

Embed Size (px)

Citation preview

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    1/110

    1234567268935382626753626842

    !"#$%&'()*+,*-)).

    !*/0!#%&(-+++,+'(,)++

    %$/%##%$!#%$# :#;#$#$$#;;/!#=>?@

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    2/110

    1234567268935382626753626842

    !"#!$%$%&'

    )*1+,-./

    0202327755+8575683/

    585856523367.52228

    27-22338:;

    8563?

    68562.26826829382

    882@3'6A238856 > 3573234572357638828563&'()384532558563%6764!268573(68332%&'()32/278545324!26857+327564227262=278554!8835+856335862768357222268%82.> > %678244+24545236728563.

    ; (?

    '= ;

    @@#::#+%#::)

    "

    HIKBLMHMNOPQIRSBTBUQOKVWXQM%#&Y#7".2/586ZB[MZB\]I_MaBbcR]A\_VMXRKMM

    deQSb\b%":&Y7%:.244F;35EE%872627

    "

    $1@#

    ":

    $1@24337727

    ""

    HSM24337727

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    25/110

    1234567268935382626753626842

    2722856338532!867528"675!82#882$277

    26"32%2!2728563&83&672%72622"6783'753"5632

    "3233

    ()

    *22722856375658726267528"&882+##4225837232784332667528"!2682"&52,42&234267555827&673278867528"623268852822356233456&38677545525!42

    )-

    ./ :;?@ACDEB>G

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    26/110

    1234567268935382626753626842

    3658275223!38"2362388226#$234563257638268"2

    23%27#745

    &'

    23%27#7(28"#28623"4)%*+38"2#3

    763885#568#827$!85763828"223%27#745768"22268824257

    &

    52#2%"78"2#568#858568543"8"2%%856$8"2!8824533233278"28"58$8572254%27#745#$

    &,

    -6688248857+8826856+$5835+63#567#8.2383"572428827852$456%9344558"2458"5/856#3272335+"28"28"532#3+2282

    ##8267#54282"3268#0328-6!#567#827678385+"28"2%)525!*+34542$425643688583#568#8+8"8"2!88252367638268"2%27#745."3242827$62#8278"3786858"3#32856#82738#8565835+6#567#828.3588248385#8"8%934256#23226885

    8"338

    &

    :68"38824568!:-;223"267348272726#238"8."76

    82672426726878$8538658568"8+382##8267#54282855862322685%27#7"3585653258"2%%678"257222268.

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    27/110

    1234567268935382626753626842

    3867736738884585856223835!822"36557#5682582267852$2%8!8875236"82688#5&6'38326766#86

    #5%68(538$2345$7265856853267688

    6585685824558245"36828#)82%32!#5"22886562#88#5%226"834453278528

    *+

    ,5245868#!-457&27652$726&252858#8535%8%32.&327545$76726853238822683!3886&35623232$&23!526666#&567&86$585658244&2,27&74523!327568222&8/,445$27-934585856&308352!82/2.3422

    5862$5'2&885827226323588563!&23!52385442

    *

    6&8!822$726&2358823638-934538566!-)3882766285/2.3,!67238678836&26#!!822"322672268445$45&233!585&5723445$6756852$2%#75&8556#82826836&288782%5728#&5323&86#

    *:

    ,525$2!382/,,2.4&8#38823!

    ;4 @ABCDEGHIIJCIKHLAMNAMLMOPBPHQOEBODRAQSABTUHQIBPHQOL/2236523856)V3822858#67585685824&68223885263288-!W26#45$72%5$568#48&4823682/2.3,27&745!&5423%844&245&236745&2723683&32!)V%3'3827645364#2685756-67258836785#678373&2856#

    858##2685735767%32423268856258&54227678527!373&332782&856367!XYZ[\]#268573545$58563%2453278283728262788

    *+

    5_8++a

    *

    bc\cdf]gY[h\i!:+07+_!+j/2.**_k

    *:

    58j24337727k

    **

    1a8l**j*k

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    28/110

    1234567268935382626753626842

    42272622383853445882426857!

    "##$"#"

    %68332$288562

    588274558563$676823&335654585'8565356866

    72683882268367(32423268856$858255(65678)*+,-./,-++-"3&8863238822683$324232688563$6753356354286268838542685728262828854268672277$658565:;""?674585'8565328856254282767326885@657285222277673

    3&8863238822683$324232688563$675335635428626883855&862825426385686288562(3226882785$5852284585'8562A22683$658565:;""?674585'85653:42326863568663882268352423268856388288562B62(53572B65(6(2232$658565:;""?53674585'856823

    C&6277562&3&232235823$658565:;""

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    29/110

    1234567268935382626753626842

    2573672726886765323728282684633875723383573

    423356344245233675428566582367726858542348563

    !"#

    $67282%27745823225733567285326223385&22762233867'72(82)8826752688565823532&236327672*%277+,67853262233'85&282432545783*+,

    !"-

    .2.%%6388345&72388823845&722573'2782,85/04562(238

    !"

    458688324423272335)2828275268856

    4323836824826885232)228332688882752683658245&72785/058245&72855845&5856

    !"

    '285344822(2382775268367582823)8682822342272386426857,5254268542683568862856523565%277

    !"

    :;

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    30/110

    1234567268935382626753626842

    4572385686257367457223385675423582!"

    ###

    $%2&32'82

    ())34227823223)27752367672&85678563)27745723

    *+22+3275457685323223

    ##,

    (2())3532858257328268562-22683

    ##

    .6*'82(2/37638825722-23726838385%26728672682573582380*23.285+72+*8282358257222268'82())'6782235266827268452335656388824558563

    ##

    :;?>>@;ABCC>?D>CE?BFFC

    G234828288326832+2262H282745858'G*268882464235IJKMNOPQRSR67582238544235744*6833285827282685TUVWT42*'G&68382$X32&82638683285822635X72Y5293.67635.8675635635$&6ZRI[P\]J\R_P[aJ\SPKSIbcdJeRKZZfghijk'TUG5%28l50,m#,#no6782U85+2#',#,572+*X72.2%28*

    75486X72Y5293572pV683)*',#572U72l50!'82$X372627

    G935856+32756IJKMNOPQRSR675822385442'65867785683622785+2722542768332"8822656G935856'82$X3456827*6582788X72

    ###

    1#81#q##,

    fJJrJc]cr1#08s#m#m#o2628367$88563ptKJJR[Ku+528V

    ##

    1#8#,(2)634223v

    (24572386866728662233*752688563'2573'12886267

    T883o1wTp24583'67385*7526882322367344234572767

    722278227622338*5853232236734423'825383327857282624*26882522'672573575268362233*85728262&2824*2685853282353223&37267&34542*7257353285T678372362254*58256*&658228832-2268(2752688566723'&8588856'6274826825735822573428668582482686*582257353223'823'2-4268'53442345727858248268674*26837258532322376538823837526832827857653386+62573652382826833223+585*2383x*367

    752688565722*5823'2-4268'6734423

    jOc

    ##

    fJJR[Kuy5#8zzzm

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    31/110

    1234567268935382626753626842

    529367635822827858227268!257423268276"#$%&'()'*

    +,-387723323822.323385!6282$)/#65582238544244!

    67826833525822!8722623882672"#$%&'()'6445382,6"#$%&'()'.3274568282727262.252272523362767227.8!674586285+3823527:268285582;2676:535634238>;227268!257683325222

    R

    :8!75236582

    S

    M

    T)'/U'VWX#'#Y)$U%)Z[UW\NS*]Q7NNO;2P

    R

    hZ/#*]Q78NM

    S

    c)v#/L)#%w/#)[UZZx'VWy#(%)RNR*]Q7N N \O;2

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    32/110

    1234567268935382626753626842

    34232682765272628883648!86485"#$%&'()'

    67626*26838325565632672+2,6822382768232

    -23856./088223652726257668223868228802688276"#$%&'()'

    244085$):&;#3?032756823233!223275572022632768238856=

    @

    2332683323!282582782235822A3B27745.855678332856862573.457632388226835

    32423268856385508645858563.5!5650866426856203023223.85!6845385654268570CDEF726856.932272362576582022663326"#$%&'()'E683428B58565C3453856G!82HI372627J.0733282788CDEF93683323,7268/858288276"#$%&'()'

    B5252.2788.0232CDEF7235258232285636

    "#$%&'()'368332G)K(K.8245726232,3088273238822683.658565324232688563.5588274286268838522845858562-22683/J.CDEF357020275,2886/8336383268335037385057245602655393268!5726CDEF5756066268566385624572.3$):&;#

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    33/110

    1234567268935382626753626842

    5822385442533242356382885653428332327

    8827662232

    !

    "48322#6853328825582238544238

    238388$%8283358852882768232567856&2267882768238856$!%853283&222332688582'72686823885667$%824823&223837(232368238856"

    !)

    582238544275236582*2885682238388248638&58275862333282738(222648858238856678233285272727682823838272688588727276

    822238

    !+

    ,385&282*238565-285424856.&3276/0822(7268257286&365872(25427338&3683326722782327327885822385442365844548268363862

    !:

    ;2

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    34/110

    1234567268935382626753626842

    !"#!"$%&'(!#)")*&)+)")#!",-./0

    '(!#)")*&)+)")#!"!++)

    38:2;27?72682?85@ABBBC5DE58:2;>27?2?855>27?758:2F882527?7458:5U8562b238

    3Q8827@5P28:2VO23:23

    8:2;52>27?7726872?85@AB545352?356G8JRE

    KLM78827?323;2688:5:58:57568?O8:58O3682OVGHIJG8R

    J

    e5H8HH

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    35/110

    1234567268935382626753626842

    !"#!"$%&'(!#)")*&)+)")#!",-./0

    '(!#)")*&)+)")#!"!++)

    2:27;2342685627385;3D423562>2?E52>2234268562:5682678;22?228?5726856352:854:24856Z

    QeTe

    5625V27:748268367658;25656V27:7482683

    @f

    93>2?3562:854:24856?22:55C5827C

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    36/110

    1234567268935382626753626842

    !"#!"$%&'(!#)")*&)+)")#!",-./0

    '(!#)")*&)+)")#!"!++)

    588235682:;33573?56285755@245@27A@6@58232=8623323382@2A32756>B9363?268?62A254656368392C428>D3?52322845853=5FG>BH5IJK

    LMN88326OBPQ4232682782823856@5>:@R75?FA57?2827585756838673338686?523358@55225>26838@

    >R75?F3A226658575683836?2SJTT3

    ?6?45233523234563A253422?8535822?6575B857568?3682U6827O882336B>2?85>R75?F3234563A25?286=8667763826A57?28?8562C55857568383O42??8532C4226?2=8E27?7>R75?F382827E27?7482683=5=22??2482767

    828278@52238823233323327V323?52322835458268482683=28@5

    SJ

    B6@A3354@26857=3>DBH5SJK LMNP683?32OBPQ453274@26857A327456828588@58265856262758=5486XGSK2C4282

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    37/110

    1234567268935382626753626842

    !"#!"$%&'(!#)")*&)+)")#!",-./0

    '(!#)")*&)+)")#!"!++)

    672822572246:82866722482683:28; 726242326827=22357256388236253?4826833=57658=>2275@236722>268=2538@224827386775A285424856BCDEG63:?H365827@2352:67=382553I222J453278=5==3>2

    823856K88=2?=26L658682K:M72N5277658=>28=2@26285?

    H9382@567675856388=28258=2OPQRSTUVT=26W6K:8=2XM33=572Y288=27586255822385442858=22J826883=5765844K858=25>26268G6ZTS[VD\[P[V]E_VTDaP:8=2Lbb42258=278=865685263>25822385442752365844K858=22725>26268:38cI573@3868K8=I88=272>2542685458682385635I@K22d68=2386

    7235626722756482332c

    efg

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    38/110

    1234567268935382626753626842

    2772628875236587262285424856!56"58#258#2567856372327

    68#2$%672&'"(#28#2)6"*+,*+6656226877-2352#62385

    8#227726288776587262272625#628#27268565285424856 './0223(8#%8#88#232233542#26327252&327745723!

    *+

    8%385-65(2728#88#238#272!565856582&327726283452367452723!

    *

    6582782&8/68#2(5735%.%932&42884572376254"268223"382658

    63"3826726838"52762!

    *

    /8752365867576588-28#2425272785667866

    *

    3%.7882745723832#35#227856672&42262!

    *

    3(23#35#27268-567!

    *

    856723867(#8823-25228!67285424856!2668#25682&858#2$%5

    *

    :8#252(#28#27523726235258#28238323(#2687523358

    7523352&48":52&42;

    ?>@A>BCD?>FGCHICJBFGKGJB372627327567856623868326823"4853532683228"L676322246M3#8#88#2326252782278826856572356"22&42827852386!3253426857"36856

    *N

    @QGAPK3726273S4#"36342356526836728#225#52#28#26235#534238#82T2542&587346"2578239!

    *,

    *+

    221*8*

    *

    UFV

    *

    W5+8*,;*+*

    *

    W5*8***;*+*L%826#52&4668#8457232#27(8#672386768#26327568#24523356866MW58+N;*+,;L823856"5%248"/6342850262)-'8-2&4668#23267235668#8"5278#258#5756832856"5(57698-65(#5(8548258#575683!M

    *

    W5+8*+;+

    *

    UFV8*+N;N*,

    *

    %.353328278#872683835#885-65(58!8#2T88267T68882!4856358#2

    827"36856!5387"658#575683UFV8*;**N

    *N

    1*8L83656M

    *,

    UFV8NL83656M

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    39/110

    1234567268935382626753626842

    !"#$%&'37262736(73383)8562*4233276+86,(8-245.72/556

    ,2-58-845.72/)56)2668-202*327)75

    2668+526+8---3)5678562726273+526+-524266867-.2562552--327)6754235643()-535))5678563764266)(

    :!%$#

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    40/110

    1234567268935382626753626842

    882752365872622854248563355627!828832382

    2782"2854#583725825857568332856$%85872668$857232

    2628358227745&6'2856()582*+$8232856562664!3632,23$82-463884527238582882275678565"28544266!#25,227!277

    ./0

    2822522-428327745,723$543275342!862767263272824235662$853282278566727567856723867%8"28544266!#67"285424856#2

    ./+

    2293268528$8293"726856#5285424856%57$!93568$"2,25556!62823362528563545385635822867285424856#

    ./

    6582%573$8%5765872626!86833328567223585563263267$6482$82$%83542263,258575683853235"32,226744653566758234227!

    62233!38623#

    .)

    3:662-4627$"67446#263"62-822

    72,85658265$#

    .).

    !2832783"8233#72685652854248568556726724232688582'88288).582)(

    .)*

    482683682342732,22

    45,72385228582"5%85'52#32856"565856565%8535282;#CD5(8*//&..0=248!634285E262F'8

    2-4668232??AB>CD5*8+&*(*=22688"2854#263"58542#67

    3328688832663556"627625,2#CD5.8.&.=75546285424856%828544266!??AB>CIMN8.+&*(.&*O8252$%22528$67826777262"285424856#8526"66348826524856$#8573522788%2683238282"28544266!$#8263"6634882654266!#33$5532$37

    .)

    1.8.()

    .).

    D5(8..&/+GP72627"67446#85268232863"5356$#62828234253$672672682432"32,22674465356#8266233D58.&.0./&*>??Q>RCLIAS?M?LABHATIJU>VWCAJQ>>XJTNHCBIYIJCZ/.['.$..*=..

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    41/110

    1234567268935382626753626842

    6744653563

    8838858232732!22"2#82272!8563582

    65

    $333%$75&488'6542263(2)

    *

    678568783%933328568882$++27262328542485685266'6348826524856),!26336544532352688882$++7748"2726283278258%9344856582672382-57'63)2662333832782352772685685567288.582482683682342/670058248268382827

    5542263!258575683/7658562(882383#28548228$223658663(58005(6764826835528682342482683!68232585756856785628*05822(2822862482689358

    :;

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    42/110

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    43/110

    1234567268935382626753626842

    5642

    6!"75#93573$%&5265856685&556'532$&5262(8

    755$285'53235)2$382285)268'256422638935837258'242

    '22834666855*

    "'372685633285868'2+5882(8,-./0-/--./:;66

    ?

    673867782(8658'57568866

    @

    "'3726856'3658'627

    "'25882(82(463285424856A2485668'25642A3327=&45385654262688558'=7$678'88353855668'2(&38

    53

    B

    %C85424856558'28228'32$=862386863453856*

    D

    1$44267522854&248276623E235656!48268345)727=&!"75#F

    BG

    62(822323$8228'2854&2486363)823$58'5'8'237258'22

    B

    5638H552I58GDJK?GJD,-./LM:.N0.O6765O865KB$G$''32(48&827858'22)726268'225768'832

    1?G

    I58J

    ?

    I58JK??J

    @

    I58JBK

    I58?J?D

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    44/110

    1234567268935382626753626842

    1628542482744228268635!"25656#482683

    45$727%#&75'(

    )*

    &+372684+26526563733327632688282

    )

    "4586858+28236#&75'9382823$2723%22854248278228+38228+8+8+$224827,68+2-5642.

    )

    &+235733328542485632567856/566%28-2260674226858+2454856

    )0

    /42868+23853

    5232442678+265-26623

    )

    6688+232688282723%238+2226/8+2$25-226/5285424856562$265624248268&+222658+23222276256785656842823675%8268+2324826836#&75'93242854656,6682332.

    )

    &+2+62558+2%6764826836)*

    :;G58)K!#L662765682!M+%8)(-++454+2838827K,5%%8+2538886332335678+23258+2-572854&+2626857268383853828+8+3-575$262$256372274533%8233627%2.(

    )

    :;B;G58*!#L6624668+88+25632+238,7266.2854248563,66348826524856.38+2&23O277O66724668+8+2-36588+88+88+33,726856.528542485663+5558+5++3866(

    )0

    G58KHCCAJH>108)!&+67282723%628542485636,65.8+8536058+23424548565*482683(

    )

    G580K***&+23268828235723%238+242$26255356K24226825

    +726+$2,55'27.8228+8228+7565857624838+8:;

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    45/110

    1234567268935382626753626842

    3426658565626386256222762567856!"8#38238$

    638623!

    %&&

    67#38#5552"82638623!3'(25)8936584533"2*

    %&+

    ,- /0:;?@ABCDE>AF0GA0BHCCAC>>HIJ?A>KC?JKAC>LM882MNN62272623'285424856*75236582688O6658#88#5#6585267282N277"26288834232#88776836656226852628623P282Q6%!RS%R

    %+S

    T2U52823

    88837526832858352248'623*8582N277"2628!83652868333285688862782'726856*5285424856

    %+%

    M2665622683283582486238582N277"26285642562!388688'8255#6M2328O8243VMO8243W58575683223"26283#625M23N277*

    %+R

    M266562268826452273853826238582"2628!3886!5242!88'5272572U&$+R#"262#"26285M23N277#26

    267227"*34245723)8567238332856"388688'M232623#658284585(85644535782353224585Q6%!RS%R*M2665622688265235685246884585(8563#"2824533426727M2238582665622682388238265856568627682MNN!676#8322325227675#82357"2"27)848382"523827

    62368556828!"87523658!5#22!4458X2682623842R!5

    %&&

    Y8238Z638623!64826833527"U[66\]]_abc8d

    %&+

    efg8%Zh%1+V267276723"88274282iQ396388563W

    %+S

    Z&V22682'8266562268*WM33358232#8234288582N277286j5R%!&%

    %+%

    k5%8+h%$RlVU8265246683#82785N277286j5R%!&%Wk5l8

    %+lh%VU248)634285m262QXO8X246682326262W

    %+R

    Z&

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    46/110

    1234567268935382626753626842

    242844323829385!8562"22683#86$7238262%&

    2"27572$5723682246856

    '()

    *&826656$2268+2823545,723$&6638$856353$5682-.

    '(

    '(/

    083882388$854$2485675236586$72822888258827582288822665368272342$&%26822626,6$8563%8682563582,2572

    '(

    8833$$856682638$8563658$62672685632,7268582$88882-.638$8563567682,2%&3

    45#8273$568228%8682563582,257232$854$36624258228882533&58582563582,2572853882%$8228$52732$854$&24827

    '(

    06582%573#&24668882288825882758228882266536827265885#2$5682732$854$2342$&%26%868256

    '()

    8'

    '(

    882-.672385#23$527355%3

    '(/

    :5*2,228$.2,856356386$2826656$226838823;122385$$$7268356&5683$6658#2%7275$562687258&0875236586$7288$5$$3565$533#82

    242,533$5686362;

    122385$$$7268356&5683$6658#2%7275$562687258&*2,2288$

    72,8563756586$7288$5$$35635$533#82

    1'8'(1'/8'(/1'8''1'8'('

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    47/110

    1234567268935382626753626842

    35822572826656!22683658!6278683"38!2788

    82328228#822888268272#$22$%32!72753!56

    &'(

    )62282233238882*+&*6656!2268,!6278272685652!854!24856-83$2282!32826822888$2236827266558827.8$22$86825635822572!57.23!52732!854!.2!3282%$2265824!8%2!72768*+&*)385!065$2728883268$5726728293563867624252!854!248568228882,533%58582563

    58225724568233

    &''

    3365882!323.58)8265678!024627638275!668272685652!854!2485682*+&*6656!226867.286!2782!888457232658853!5282288823682726655882732!854!

    *++

    :;

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    48/110

    1234567268935382626753626842

    336!8"85612#2383

    $%2$342"238%8482683&8%!277268856'(58%(()67788228%'75

    *+$#)5"542%263,258%57568"36728%227"74562338%2828268466"7232!8"856352664)8228%-56"3235"28482

    ./.

    $%2.//$-56386"2-383342""45"272"572352!8"85638420.-6"760/68%2%2668%3"32-*"56"27278%88%22"573%245,72785

    +55585482683&223362!8"8562#2383:826830;-.-;-/

    ./

    *2!46278%86352"323-42532!8"856368%25"2-678%26

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    49/110

    1234567268935382626753626842

    752365875268288563

    8268!35"74#8228"88"2823"238827

    8282688$"28282684677658672288563

    %"356388823422&7262'8"26(6852&726262233#8534458856622628"88"2285658382'8"8$5882745&58563)#6856868"2288562(2386782826825736&58565*%

    +,

    $-./

    0$+

    **!*678268&2#856388823422&72628"8$5882745&58563)#2(23862)3226858"2828268

    5482683"522248#62)28522&2)67657685%--*:;58268$9325733"58"82885658"24826893?4423@222(275828268576858"2A$53)8827858"2B882

    *

    576858"248268257"52&28"256#288563425272228856358"2?4423@658

    8"24423

    **

    B#582683678"2257367828"828856322

    2(23827)865842527

    *

    %"356388823422&72628"8$2785C25686545&72B0.8"8"22(27828268257368"2324826839"86&58565*%

    +,

    $-./

    0$+

    **!*67DE GHIIHJKMNOPQRSI

    !8!*!

    !8!-6785#58"5T8565!***$93682682826865823

    *

    8

    **

    8*

    *

    8*A$567862885632(272(23868"5T85685288

    8228"6728"2572$*6868"5T856528856572$*58228"**

    8*A$5678628627442662362272785)228827UVWXYZ

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    50/110

    1234567268935382626753626842

    2683836758575683832227852244826876533678282682573!

    676"53!

    #$%

    565823&27745'72322278522477856

    257362233(85'2(8832'23)22!563862!62233(6726722732*4627+5'2!8345'5856858545'7275268385,-./828888275268(2*38352)22365+265682238565)2828)345'72785,-./3227+(&27723022576833232!6756272788828345'72785,

    -./582683#!!!$!67%

    #$

    776585686"53

    #$

    27!233268(!65!65585352"53)2265845'72785,-./76836'238856276485824(26857!822)36545'5856+2328253778(2*38!)2245'727850&!67)222732*+8368332

    #$!#$

    032683)85828023323658)28282

    25732*382785624568!5)282)3+2855828258372582482688

    6782628232*+83683325'2(28282()22223827+(,-./.63827!82332382656823827888278545'7282"5385,-./3227+(&277230356388823422'7262545'585636'58565$0

    &.:

    -

    ;%$$$

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    51/110

    1234567268935382626753626842

    56272788877658457272685723582683!"##

    #$

    "#!"

    !!$

    #%

    &5!4826883822573232683855723

    ##'

    &5!582482683682

    34282836782885723(2272)865868627*83582683"#!"67!$56864523365823678688387+5723(2272

    ##

    8268"#9383556863)3457265723

    ###

    ,334558563-65(2727

    ##"

    (25723(226582.2785)272)+67282,//6323(2682+(227234854826893

    72682575767/277232.28882+)268627582382+23

    ##!

    67/277232.2884572354+(80038882353867735266548563:;

    ##

    9328554+(8823223563888234227262888588274558563658565,

    ?

    @

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    52/110

    1234567268935382626753626842

    6223382744548262336732236327672!"277#$

    %

    5723

    342887268257338632367256582863827825382356

    53867836382&2632232267227257338672752688565'67636786566775452(6856!#$

    )

    "277236782888267275268856582322345727676'428626865856276824826893567856853*38688282622767276223385823223$

    +

    57232,2888232*268627*82457258

    23823

    -.

    67"277232,28882*24572785/04562,238

    -

    283582683%67)272575675268856887585362(62767765327824826833258235232283

    -

    8822573568686367(37523658326782888352582324826837765888228*23

    --

    356552687882785:72/28;688226

    835482683&577658222*23&575686683875268856

    -

    2

    3(48268833827*525&22756585686832,2775268856678356388823422726288588274558563658565

    0548268

    )83&4572785.-/075658)568642828268#$334)22726)288&)588274558563658565

    ?@

    &/A

    -&?

    *(*%670BC BEFGHIJFLJJFMNOHPQRPSTENUG 373)3327682728:;265)226862388563

    %W

    5"2)2'823228563622756$)568667)52"8$'>))58322785"23)26885344582356"2334)56'3867754552265>2864)22726)2/683)32'.-/054262766238856685&935857568)4)8)2'675"86276753425(48268)838578

    %

    1+8W*12238355857568)32)23X:Y"2))54627"$)28675)268856'6)76#$3

    %(

    Z58,[\%]]=_%%

    ?@

    &/A

    -&?

    [,,')%38675433)5456268572682)5738838"268627'67342))$65868875)26885657543'676763727)27

    582'38"26)727682482682)57

    %*

    2)858268%%)56863#$38!26766782828268Z5+8+\++

    %,

    Z5+8++\,%[ab8+\%%

    %W

    +%c1+%%[

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    54/110

    1234567268935382626753626842

    93623885622278!8"35!8458!5#8565

    $542!263258!57568$36%&58!2%'$32368!2342

    ()

    332858*528+

    2$854$24856322,2$5678563+672382$323-8!8425*82,2$854$8228!67227+2$854$24856323528!8".66!3622828274824,4826853622$854$,248278558!!27523658226328!2$56$24868286!34824,482683

    (&

    /!248268$!835*8627677827*,+!5-22+3!5-278!8"6228!2233$28278!822,36256258!232%&482683!730552

    2$854$,248278228!

    ((

    "3$527)55258!25-*28228!32$854$562$!6722,342"8!2,3*88275$542!263258!57568$38!5#8566"/75$932042854656+8!2322$854$248563$523-2232673242326827

    ('

    28282686854!58535"8268&+)&)))&"/75$$56$7278!88!348268935$$356362422$88!8,343368!2$28$85645$23358!22$65758!57568$3

    (

    "93"3$523!228242326868!88268&!32$854$8228!)&))&'

    ()

    "3*8827"535%'+!5-22+673$527%(58!2%':;;=>?@A86&B

    (&

    C5'8D%E%D".66358238278!8!2752365876532F27$7674824,48268372268,GHI8&BE(((".662268238278!88!22,3258!8!8!32$854$,248278228!5F27$74453233422042J8!22,2042!232356!358!24$8$293-2*382J5$5-76C5'8()E((&E&K8!24!58556!3-2*3823620425$5-76L+(&E()K204668!88!24!58535"93F27$748268L+((E(('E'K38868!8!23$5278!34826832$854$L

    ((

    2-3258268D+-!$!"3*8827582758!57568$3*8242326827!7(2$854$8228!)D

    8)D)))')))

    ('

    C5&8&B%E&()+&BBE&&%

    (

    C5&8&E&('MNO?A@;4!58535822$854$248563+6$727=>?@A844'

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    55/110

    1234567268935382626753626842

    28282686854585358268!"#$%&'458535822(854(248563)

    6(727*+$&%844,,,

    93-3(523228242326868882683.2(854(8228/

    0 ,

    232227676322282225862759378565856(568627693562(5732252863(2688534458(2722856576732423268856)6782:38934538565

    426857426768262388567528682326763)8593562(57322888348826674(8(2385;4826835466F83G93H3(5252(854(8228884858532482683520IJ68226)882482785288835857568(482684548563F8227)I67

    88834882632>462782(888282782523222(323C''K'LMLKB58/,=./.3

    75(A2>4627)5353F82)I(6826856542823853(22658882538F7(8I

    (32355((356B5/8/=/0822626322(86556825383222(323)5356

    285(28445>820585E

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    56/110

    1234567268935382626753626842

    4826838548268

    !"

    #8$2%2&263368$82'$58$232482683$7658562%(8

    8)56386'2358$2&2*24$2652652'854'2485668$268258228$%8$2*38

    )57658$&2(2262(25+27'7'5&227'542$263&258$57568'3%38$2*'57658'$2&28$2,*63'525

    !-

    .$33/2(2067'57372526582767'86:;%/

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    57/110

    1234567268935382626753626842

    535623527582!"482683682342#

    $

    675858232#$%%&75

    5228548228

    '82#5858232482683#23527"3(6)28548228*

    8232)28548228*82442675226867826353

    "

    +324232683445,82-)&53482683682342.6-5625/0669334248268377658(2544267526353352732854

    582582378238823232288228352732854+83#/06667/2423268278582882885(2!&5348268368234278238)285482286556

    ,24853-5/06693/3523#1)"

    836584533285532(28348826672:26-6682#

    !

    6782888

    /2423268278582882888775638882322#(2276788/;656-677268-32423268278232(28-5583676482683972685678563

    $

    /3882785/5358268"#266/0663527)/53858!"+33567238268#5335273(6)28548228+3/533882785+5"8)(2-3625625/06693482683682342728544426752268

    6353#6752826353#2423268275682/35232283671)"3553

    $$

    $$

    ?@@BCDE>5$8$$F/+75;2,466/935(2488265356824426752635365382(2-48268G

    "

    1)">5"8"%12423268273$$$$

    8268"335273(628548228#658)58237)5521)"

    +3335!&582/532542827FH)G

    !

    >5$8$$D@@DIJKB84.#8532/.9323332682,46856#4423675623#2(2-

    323722688572234282-228232>58!$$!L28/9325733588

    85/#82-228232#8238332854248563562627+82,463582-57M38

    6;8258NOP

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    58/110

    1234567268935382626753626842

    3332682722856578567824268574267682

    6!238856

    "#

    $8252%562822856357&22!22767'()*6882742685732+27672,"$1-,"./0/0%'()*&32+278522833285$

    "

    23282$248278272256!238856%824268572568627683823826!238856676335827265226845227632542827

    "

    3328585!2%'()*335&688822!726282275664536825767822!72628838236866825742676826!238856322!68%272%678285823323558767&32423268856

    ":

    ;?@ABDE?EBFBGEHIJFKAAKHGA23283887256388288L726867&324232682782

    567856582482683%MNOPQ8'2856)))67%355638882422!726288

    L3882732388226835588274286268658565636736!58565

    RS

    L)T

    (LR

    --.##/0/0/067/)0U

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    59/110

    1234567268935382626753626842

    22388585667855542263!258575688282683"#$#$%678232

    583572%85282&882'"5%24232683888245!72372826278248268

    235542263!25857568367282(2772628"388274585856223835542263!25857568367282572"#$#$5)*58582)+482683682342,!82535756%"242326827888232)*482683275676%&26%558223563342275!28-2856...%82,77658/232"#$#$5723&22%576,%323882268388

    324232682782482683928,5(2775!227542263!258575683"93333565823257235645858565358244532522!64,26856388823422!726288"5882745!585636!58565*/

    0

    "(.

    "0

    +**)**67. ;

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    60/110

    1234567268935382626753626842

    8585622268362!5357"265!688#$542827%53

    $56862738822683!2232&'862"2822333'88278285()

    #*

    +, ./0:;?=@A;BC=/BD (2())83)27$7$5"2255857568$32"$2385$3238822872627$82&3723$'27EFGHI8K2$856L

    #M

    L8345"5856853'8$352'3226858236732"$238822N$727582)27$7'2628

    #O

    P, Q>/R./;=

    S5T2344$'28583$32&82())827$542263"25857568$828268UVVW85482683X!52Y#T2352675725$2683!5"22N58274T7268856Z

    #

    L683$32&358672$2"272'322685$542263"25857568$8282684252756822482683!5!22&8823885828268&6722Y#67!5

    76582N58274T7268856U[\]\82T387''T8228W

    #_

    8268YO!3'566

    Y 3'8827458585622385$542263"25857568$356'2583482686#V

    #V

    8268O!335'566Y 3'8827458585622385$542263"25857568$356'2583482686#

    #

    8268!335

    #*

    K5258232%53&'T935!6$$568&355882742862686585668226&5

    6386$2&a2788!22X$57"23$527Z54826893822832$854$&X822!36986T

    6227!22$27#Zb5M8YY*cYV#U2768268YMWd]]IeEfb5*8YVcOYUg66

    62$57"23$5274826893$66232$854$&'877658WK5&2"268582())$2T2N463883$525#45683382X63$52Z2275'676445"&44268T728262788&82386352$323&862276583$5282482689358$54282T5$$82T&3556382$27#45683

    #M

    d]]IeEfb5Y8#V#cY&OVcYM#&_Yc_Y#

    #O

    Y(

    hi

    )La

    jh

    kk*_YYY_UYWUgW&UOWUW&UlW

    #

    1YM8Y*V1YO8Y* 1Y8YO1Y_8YVM

    #_

    b5M8YcYMYVa27882!35!278582848268672Y#6#Vb5M8#c#Y#O[m\8*cYMMcYVU$5636822238$85644$'2622"68T23!8823'32268T7727

    $28$8568882482683538''T8228W(336$52$882#V())2N4$8T45'838286

    48268672Y#!8$542263"25857568$362338248268353852''T82281YM8Y*V

    #V

    YO8YO#*

    #`

    O8OYO

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    61/110

    1234567268935382626753626842

    5666735388274585!8562"238562583482686

    #$$

    #%$

    &'58232482683357(8228

    #%

    )3'563888234'22*726'288

    388272"23835672'2*27232268582623232*'254'6'2356482683672#+5387(82286*58565)

    &,

    -./

    0&

    %%67

    #%#

    ;?@=ACDEF>GHE=IJLM3723'275*28N2'856...6562593676482683"275

    -27'7'5*227'542263*25857568'33268937268(68276732423268272'854'248563'523O826)75'P932Q4285465656(5625824826837"(6R3'5288348268+36722678225277658"(5'542263*25857568'3

    #%

    ''576(6562582'542263*2676482683682342"27

    933335654585!85667R53582326"27

    482683'563888234'22*726'2545*585636*58565)

    &,

    -./

    0&

    %%67S T?U?KEL;

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    62/110

    1234567268935382626753626842

    24268573572686278!!"#8242$26822%2767282

    5722$8

    &'

    (45868#!!"426857)5722%272*26+

    ,(-56*227$2722856357)82342$8852)582.27$748268367$3682342

    &/

    +,(-3238327#5)2*2#888357332756222*726$2880$5882775)32423268856)82342$88558245858562%2383682342+,(-33523832788072683242326827822$854$248563$52565824826839053

    8252#+,(-36585676557$328565833426742683585334267426856648

    &

    5*267256782*227$2722856357#+,(-335238327#6703$56$2727#880$58827625345*58563#6$766856866745*72482682$57385+,(-4562%238582

    32$$576#)28222482683682342#+,(-335)64$2

    2*726$2552866386$2357#)324232688563#6745*58563

    &&

    32*726$2352863$268852%257565093.27$74268342676826*238856#2342$68582.9356566*2388565093$567$8 ;?@ACDEFGDHIEE?J

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    63/110

    1234567268935382626753626842

    682735232283!823"355882745#585632#2$828

    82827482685%676&268248268&3672!'677%%$8228823"

    &268278568667(545#72)*+,&82-88562.2383823"/530823"/5723823"/82826873823"/6742828268$3'823"#26%326827%2/#2272#726257/4245558232!45#58563562&68382453856676826625!4$26857 :;?@BCDEFCGHDD>I;@JC?KCFLG;ME

    )*+,345#2788834$268573%3275627%22856357888#227&82342885!48268358582683342

    'NO

    32-4627PQRST8++/)*+,3822522.2785V334267W2774$2683X85YZ [\][_Y\])*+,3422#7262a82bcdcbQb.6852#726262233$85

    344588566226288822856382a88588275286!

    45#58563&82342885%8562582482683682342)*+,353#22727%22856357&82342885%88&5582482683682342e335286326885f38$)*+,933342635658-4$26727W2774$268385&286782W277g75685h686#2388293567832756825256/)*+,23428$2.2383)*3328255&6

    676358i! e2e2-3W2775#7252723W675236587262527262V285424856X' e2238%327277268565V285424856X3V24856682&5642X'NO

    kllPQRST8)2856+++

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    64/110

    1234567268935382626753626842

    85424856324265265688538556!5368238

    5356623

    "8723245888#$85%422685824548563628548558$ &842638623528542485668232482682627'!2 &8426386235'8228542485636826825822858232482682627'!2( )2)2*3&2775+7252723&645+7237628545+723

    565,35282-.3523228/ )206!#665622682782-.3566388563% )2)2*3&2775+7252723&62238845+72332822727856866672*4226285828&277482683#.365827'252'22*428

    ##.8265327'2672'22*428

    #.)75327'2672'22*428#)223422+726288.5882745+58563768282425755+2'2#/8538####"+22727'228563'266752'8!88.588277768282425755+2'2#/8538#

    ###$"2227823285&:;56+23885667&:;568623856+23882.57#"3238'327422'267+2272+726288.74882667482565,6!68683482683285424856

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    65/110

    1234567268935382626753626842

    35238522285856674268554226325857568

    828268888348268377658582!32"5

    #$85823268273523&65625'93(676482683"275542263258575683#)#**+4268575682,2774268385'3!6827426768258525565662388563-./035234282"238388-.3328255!65635635!

    # 426857332785!8578242683854572388(23273(32"2688553288252426854268568!26826238856354282#

    ',/

    .'

    :;$##$*; -./038453242685756224852(22726288823862363285825765275!32423268856

    672823882,2774565762!8?>@1:?>;

    0

    .A

    9

    .'

    :;##*>@1:?>;; 27(2285657C3C62856&!3(226227(82-882&56352&C67678666748826372682785

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    66/110

    1234567268935382626753626842

    457278352652268623885632856325637227

    27226822675286782!882"277263

    222728563#83#672726226783$75356323233%&'1(%))& 285632+67528,2682234267555827-./0//#%:;!::?@A B22726242326827!CDE334267555827#673

    3268+67528,85344582722856357F !CDE4532426857832227262888245723588277532423268856276523226867282"27745B

    GH

    ;"

    1

    G!

    CIG

    (=@=&??B

    GH

    I"DK

    CIG

    (>A??D8345585685383238822683#324232688563#6753356354286268838542685728262828854268

    672"27785383238822683#324232688563#6753356354286268838558628254263856868245723226882785#5852284585L8562M22683854232683568663882268352423268856388IN6253572N656223285"277562323223582385686

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    67/110

    1234567268935382626753626842

    257367582752688565824257582227672822268

    2344285824572!585457225735752683456"8826

    223856#25735752683728262762233##123456726885542828262388563858554#"882$277457222268!288563!23!28563!4523!452863!673867735266548563%&

    '(

    )$*+

    ,)'

    --.%%%/%0/0/0!/%0/*0!/%0/0!/0/0!/0/0!67/0/0

    %%,*3858#8568682%4#26857638)5272285635767"32423268856&

    '(

    ,

    9

    &

    ,)'

    -.%%/0/0&

    '(

    :$+

    1

    '

    ,)'

    -.;%/0/.0

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    68/110

    1234567268935382626753626842

    12342838827

    !

    "

    1#1$%&

    '882"5(()*(++,

    -&1'

    .

    /

    10'

    +*/662262!3-23)+(+:)+-224;562+:))++

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    69/110

    1234567268935382626753626842

    1

    !

    1"

    #8825$%&%'()

    *1++,1-

    #8825&).$$.&&

    ##/+

    /#"#

    #0/

    /

    #+/1

    ,

    1"

    #

    +/#

    )))&)28776386+23((. .)$%)$&.$562 .)$''%%

    ++/1#

    /1

    +

    :#

    "+

    ;

    #1!#/##/

    /

    /

    #+/1

    ,

    1"

    *

    1

    ++,1-

    ;

    1+/1/

    #

    +/#

    ?@A@F@

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    70/110

    1234567268935382626753626842

    56623623!"56356#

    $%&'56(262

    )5*+%$,543-38#2*3.,%+00:;?:;@AB2!C*-D83=:

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    71/110

    123456726893

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    72/110

    012345615782

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    73/110

    123456726893

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    74/110

    012340667879864977740947297

    2 8877670123429

    !

    "

    #$%&

    !

    '

    (#

    )*+!,+-.-".

    /5:;:?>5?@=A=B>?>=?5?:;5>;?C;?>?=:D:;:5C?;?A=EF??@:@??;5?F?;F:C=G5?@?;$?@5?@=A=B>?>=?5?DA:;5=::;5>;?C;?>?=:D:;:5C?;?A=:5??C;:;=F:;L=:;?M;?5?>!I

    !

    "

    #$%&

    !

    '

    (#

    )*+!,+-.-%. /N;?>?:;:?C;?>??@:=:C?;==?=?==?5?:;;?C;?>?=:F=F?C?;>:O:E>:;>F:B@F=K?O:E:?A=B>?!I

    !

    "

    #$%&

    !

    '

    (#

    )*+!,+-.-P. /JBB:;:?>5?@:$?@?;K:;?5>F==;?:;?5;>=B?G$?@;?B?K=:F?C;:K@?;M?>:;?=@:F?;@:;?M;?@GA?@?;=B:;>=?B=E:;;?B=::;G=:!D5?@>D=@=@?M=?E;?@::;>?;KA;>F?@@?;B?%:;B?U

    -.:@??;5?==CC;:C;=?C=G5?A:;F:>??5>:;>?;K@?BK?;?@U-.:>.DBB=@;?U;?C:;>D5==?@

    "BB=;?:F?QXXYK?;>::AF?;?B=:>!

    Z[\]_[_ab\deefghijkem

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    75/110

    01232145 735893835224004592

    !"#$%&'(&$)&&$$

    %&'$&$*&&&$+%,-)-&*&(*$&%("$%($./

    /

    6

    :

    /

    ;

    ?/@?,A),6)B.C"D'"#**&&'$*&&%%///-%&D&&'&///*&-%&&*&&%%///"''("&$&D("$("$*&%*&;''$$&%%*&EEF&DD&./

    /

    6

    :

    /

    ;

    ?/@?,A),G)B.C"D'"#*&%%///"&$("$*&%&%%///(""&$""&&$-%&"&%(&'("$

    $$(&$("&$&D("$&&&-($"$&

    *&-%&&DD&*&''$$&D%D*&(*&$"$&%-&"(%D$(&$$%%$D-&D($/

    HIJKLMNIMOPJRSSTUVWXYS[

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    76/110

    123456726893

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    77/110

    012405026478929

    9552

    259

    97572

    5842

    4

    05

    22

    2

    92

    295

    2

    9254

    572

    870

    9

    25

    4

    5

    7

    2

    48

    4

    !

    "

    #

    $

    %

    &

    %

    (

    )

    *

    +

    ,-.//+)3+%

    :

    ;

    ?

    @A#B;>CCDE

    @FGHIJ!KA

    /

    L

    %

    M

    /

    N

    O

    P

    ,

    Q

    R

    %

    S/TU-OVNQ3%-%R%WX

    +

    .

    T

    N

    T

    ?

    Y

    :

    ;

    =DC>DCY

    @A#B;Z[[;

    \

    ]

    ^

    _

    `

    a

    H

    b

    b

    D

    c

    "JI=#!J#=EE;

    Ad#["Je`f`gJ#aI`!=`

    "

    =

    "

    #

    F

    G

    J

    "

    #

    a

    H!^hId#jklmlknkpn

    q

    m

    r

    n

    k

    s

    t

    uvlwumxumuxuyyqz{r

    s

    y

    n

    |

    |

    s

    z

    r

    qzqrlsmq}lmtuzum

    x

    u

    r

    ~

    q

    r

    r~uq}}uqrlsms

    t

    t

    q

    x

    r

    lyrznu

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    78/110

    123456726893

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    79/110

    0123567869236629697966515672369366296970165677383271972567869

    279827637626272156367192733731629282936132533675

    27277567

    01063 262!"6916#67312$0"#%231962536527236063 2628776211063"69167"8567&235523327

    '()*+,-/

    4:4?@A

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    80/110

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    81/110

    0 1 2 3 4 5

    6 7 8 6 7 8 6 6 6 8 8

    6 6

    !"!"!#%&'&()*+,'-.)/)*,*)'+

    9:;:9

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    82/110

    0 1 2 3 4 5

    6 7 8 6 7 8 6 6 6 8 8

    8 6 7 7 6

    7!"#$%&!$#"%$ '() *&+,-$+&-*.,,$%"/$//%&+,*$/,,",$./#$+.+!".%$%

    /%*/",-$+&-*.,,$%-$"!$,$%,$"/.#,$"!,"%"/,.#%&+,*$/,+$!"!*$%8 $

    /&*-$!".+.,+"!*"/,%&+,*$/,+,",$./#$+.+!$+,!.#,$%,",$/&*-$!,,+

    &,"!.9$%./,$,!$,*$/,/ "$$!:,$/&*-$!"*"/,.+.,+*-$*$/%$%.,

    !"!.,$%"#&*$/,,."/"*$%.#/$#$++.,.$,$#.$/,.+ $%.#.%$.;.-$7!"#$%&!$#"%$ '().+.%"/./#"/&/#,."/.,.+,"!"-!#$+$%:"!$!*/$/,%$/,.,."/7!".%$!+*&+,/",!$?&$+,#!"++-.,$#"!!$#,."/$%%$/,.,."/#.$/,$/,$!$.+/$$%"!&-/%./;./,$%&,,$$,6 !"++-.,$,$!.+/./#&+.$#!;$"!,!$,./;,$#!"++-.,$,"#"*$,."/:/%%%.,."/!$.*-&!+$*$/,.+/",!".%$%"!%&+,*$/,+

    "!*./,$//#$

    #+$.+/",!"$%:,$%$/,.+,*.$#.*"!*$/,",$%.;/"+,.#"!b&"!

    !"#$%&!$#"%$+&+$%,,$!$/$#$++!,"!$?&$+,,$!."!&,"!.9,."/

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    83/110

    0 1 2 3 4 5

    6 7 8 6 7 8 6 6 6 8 8

    6 6

    !"!"!#%&'()*+&','(-.)/-/)'

    89:;>9;9;?9@9A?BC?;

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    84/110

    0 1 2 3 4 5

    6 7 8 6 7 8 6 6 6 8 8

    8 6 7 7 6

    7!"#$%&'(!')*++!%,-%&+.#!)-+(!#/)+#!*+!!.%+%!+(!$!*+#+%)+%*++()+')*#+#)+%$

    )*!+(%.!"#$%-&+!.%+%)8 +%.& %*+) )*$)+!7 #! -+(!#/)+#!* %,-%&+!

    )*$&%*$#+'#+(+(%!.%+%.)*!+%)+%*+)*$+(%)..!.#)+%$!-%*+)+#!*!!+(!$!*+#

    &%"#%&!!&+%+(%).+!+(%8 7 %*+) #%+!)++(%!!'#*)$$%&&

    8 %9)& %$#)#$: %)+()%7 )+*%&(#.%%!%"#%)*$6 %*+) -+(!#/)+#!*&7 ;!9 ?> #%*+#&)..!"%$!-)*$#*8 (%.!"#$%!*+#*-%&+%)+%*+)*$.)%&+(%)9#))*$&8 (%.!"#$%'!-$&-#++(%*)+#!*).!%$-%!$% ?? )*$.)%+(%!).!%$-%!$%Z [ #)*!&+#'!X-.)..!"%$)*$Z )9#))*$*+(% %)X&!%*+#%$8 (%)#'!-$.)~ %%+!*#)#&!.!%$-%!$% ?? -&+()"%+(%)..!.#)+%%)X&!$%)&&!#)+%$'#+(

    +(%.!%$-%!$%

    7!"#$%&-&+)$(%%+!+(%!!'#*-#$%#*%&!%%+!*#)#&-#&!*&!8 7 )*

    )-)+%)..+(%!%+%)X&!$%+!+(%)..!.#)+%)#$%+)#

    #)*!&+#7!%$-%6 !$%V 7 6 W%)X&!$%-&+%&-#++%$!*!*%#*+(%#&++(%%+%&!+(% 8 )++(%!))#'#+(+'!$%+)#&'(%%$%+)#&!*%)*$+'!)%.!%$-%!$% ?? )*$+(%%)X&!$%&)%Z [)*$Z %*+%+(%#*!)+#!*)&!!'& 7 6 Z [Z 8 (%+!+)&-#++%$'!-$%~

    !))#'#+(+(%%$%+)#&'(%%)+(%%$%+)#&)%&-#++%$&%.))+%'#+(.!%$-%

    !$% ??%*+%+(%%)X&!$%)&%$!*+(%!$%!+(%)#$%+)#)&!!'&

    7 6 Z [Z Z 8 (%+!+)&-#++%$'!-$%~>>

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    85/110

    0 1 2 3 4 4

    5 6 7 9 5 9 6 7 5 5 9 5 7 9 7

    5 5 9 9

    7!"#$%'!()#!*++()*$#*'&*,,)%,)*$#,*-"#'$.%)!#)/+#!)#')#&*'&*&&)#!!#!$#'##&.%)

    !("!!%'%.*,*)$*+*"9 )$%&%'$+6)%+#&()#5 %!*'#+#&(#

    #'!("$$'+*"!.%)%)$%&%'$+,)%+#&()#!(!#$#.%%',)%+#&()#+%!

    8::;=>?@ABCDEFGHIHJFA@K>>CABJ@?L

    )#"%/*#%).M#&!,#+*%)$%&%'$+*,,*'+#!"(!$#,)%)*($%)N#&7 #,)%)*($%)N*$%'

    )#O(#!$"(!$'+(%$$#'*$%'*+%*'&)#"*)P!+% %#/#),)%)*($%)N*$%')#O(#!$!

    "*-%"$$# 6 5 ,)#.M$%$##$&$)#"*)P!+%

    QRSTUVWRU0 SVU YZ[Z\]\ZS_ `]aZ[W[bUUcR\dSVS\ZTeURfZTU_ ggh gih gjh*'& ikh #')#O(#!$#&%)$%&%'$++*!#!*)#!("$$#&.%)*($%)N*$%'*'&'#&$%%($%.$#''*!#,*&7 #!#.%(),)%+#&()#+%!#'!("$$#&$%#$#).%)'#&+*!#!)#,*+#%+*,)%+#&()#+%l m kn mo j

    kppkh #,*+#!l o %$,*-*#$%$#'$!$%,*+#&$#

    *,,*'+#'+(!)#"%/*%.*)+*)*'&,)#"*$()#)#"%/*%.

    )*+#!

    mj

    q\URTUr\ZfUcR\dSVS\ZTsRU]\[U\ njh #,*+#!l n*'&n "$#&$%%'#,#).#$"# mgi noh #,*+#!l n*'&n "$#&$%%'#,#).#$"# mgi 0 S[rRUdU_ZfUcR\dSVS\ZTsRU]\[U\ nnh #,*+#!l pl *'&l "$#&$%%'#,#).#$"# mkkj `ZSRsRU]\[U\\S0 S\RSt1 ]R[uWt1 ]vZ\_ n h #.#)$%!(!#+$%'i jw,#+*9 )$%&%'$+ ,,*'+#!x'$!*'&%%P.%)*!!%+*$#&)#"*)P!.#&+%

    ##!#,*)*$#$*#

    n h #.#)$%!(!#+$%'i jw,#+*9 )$%&%'$+ ,,*'+#!x'$!

    *'&%%P.%)*!!%+*$#&)#"*)P!.#&+%

    ##!#,*)*$#

    $*#

    c\dURcR\dSVS\ZTeURfZTU_ nooh #,*+#!l n #'#'!("$$#&.%)$#!*"# 9 *! ij-*'-,)%/) #'#'!("$$#&.%)$#!*"# 9 *! %) j -$#!*"#,)%/) mj nokh #,*+#!l g mon nonh #,*+#!l i*'&l jy%'#)#$*'#),#)*)+,#).#$"#y"*-#)#,*+#&%'+##+*(!#%.%!!%))#*P*#z,)%)*($%)N*$%'!)#O()#&{ m noph )*+P#$)#,*+#"#'$ m

    nop %$+%'!)#&"#&+*-'#+#!!*)- 5

    nop $%(,)%+#&()#+% nop!'%$*#'#.$%.7 #M*! #&+*&

    ,)%/)!+*'(!#,)%+#&()#+% non$%!("$*+*".%)

    )#$*'#)z!{6 )%/)!"(!$'+(%+*+%l i%)l j%'$#+*".%)"$%'&+*$#(,,#)%)%#)*!*,,)%,)*$#

    5

    nopg mj nppp *'(*-,)+#&

    |}eURfZTU_r]~]vtU\S]b1 0 uSR]TtZU\UTSW \UR

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    86/110

    0 1 2 3 4 4

    5 6 7 9 5 9 6 7 5 5 9 5 7 9 7

    7 5 6 9 6 9 5 9

    !"#$%&!#'()!*+,!-(%#./#*#.(-%,,(%-!+"+.&!+&"(..!*(./%.(#%,#-!*!-#*!

    # 7 #!+!%,,#,(%.!-%("+,#-!++(./! 6 5 !"%+-#*!#-%,#-!*!

    -#*!8!'!-.(./!+,!-('(-+!$(-!(+%+#!(!*7 /!%,,#,(%.!!"%+-#*!+"+.&!!.!!*#

    ./!,(#%./#(:%.(#!!+.'#";%(!.#'##./!'##(+.!,+(-%+!./!-%("+.#*!

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    87/110

    0 1 2 3 4 5

    6 7 8 6 7 8 6 6 6 8 8

    6 6

    ! 7 6 " #$%&'()%*+&%(+,-#./$/%/#()%*+&%(+

    ! 7 6 #$%&'()%*+&%(+,*+/&'()%*+&%(+,*+/&'%&9:'&%#,/;;#-/&%#%#;:(+&+9()%*+&%(+ ! 7 6 /%&'/#'/@/;/'&+%(&G*&->#'/@.(+;&$-/)*'&+

    #@:&$/($%(&%%#;:%$($#@%+&%/($%+#&%;#$%

    ! 7 6 " &$-/)*'&+'/:)*;:#+ ! 7 6 "? &$-/)*'&+'/$*&'?@?&+>=/+# ! 7 6 "A &$-/)*'&++#;(&)'##@:&$-#+=/%>)/%#:'&$#+(./$#+:+/$ " ! 7 6 &@/''&+9&$-;&$-/)*'&++#%&/$#+=/%>:($%/ A ! 7 6 ? &@/''&+9>=&+< ! 7 6 A &@/''&+9:'/$% ! 7 6 ()/'#/$%+&(+&' +> /&/;/'&+%(&/>#'/@.(+$($#@%+&%/($%+#&%;#$% ! 7 6 D (-/./#-G*&->#'/@&::'/&$# A

    ! 7 6 (-/./#-G*&->#'/@&::'/&$#=/%>&::'/&$# A

    ! 7 6 &$#&::'/&$#

    HIJKLMNIL

    0 JML

    PLQRIST

    0 JML PLQRIST0 JMLULTKIVWXVJY

    ZR[VQNQ

    \LL

    ]_LIVKLTWRaRbcLXJRY\d1 0 eJIRKcVLYXLYKJNYXLIf

    ghijklmhlnoiqnnrstuhlnv

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    88/110

    0 1 2 3 4 3

    5 6 7 9 5 9 6 7 5 5 9 5 7 9 7

    7 5 6 9 6 9 5 9

    !!"$%&'()%**(&+,%-(./(&+%(%(.&$,8&'

    7:;:

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    89/110

    0 1 2 3 4 5

    6 7 8 6 7 8 6 6 6 8 8

    6 6

    !"#$"%'()'**'+"%"#,

    -./--9/:8 9/;9/./9?@

    ?;-?./A;9

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    90/110

    0 1 2 3 4 5

    6 7 8 6 7 8 6 6 6 8 8

    8 6 7 7 6

    !"!"#!$&'()*+,-).--/

    89:; >?9@9>

    7>9@

    A @@:B9:@>@C99A @9>::BB>9B::B>A>@9>9D D@99E

    FGHIJHFLMNOPGHILGQRPSTUVWNXYUR ZXWU[\]TW_R `UaTbXTaMZR

    IaaUccRdefghhfijkflijmnofliefpfhiqrsjmuhv

    PwNZMOMwNJwxJHLyHZ zGZJPwLH{|}~|} Jb[U}}}}OXYXIbbTaUVWUSXWUa[VS Jb[U}}TVYYkon

    phmkof

    }}TVYY

    HXYSURYYYY[TVWc

    |TVYY

    JUUaU\TVTWT[VcTVcWbWT[VcW[cb[UdUT[cX Uv

    }}JUUaU\TVTWT[VcTVcWbWT[VcW[cb[UdUT[cX Uv dIVWUT[cwVSvhkouhgsmkofpoomfhppguhumofhphpgmgfmkgnfkmopoujgmuko HXb_W[[W_ }{mkofpknfmfpmgmfpghmkohu`X `XVa WcUXb_Xb_ GX]T[STV XSJUXaTVYY

    OwOIG

    ZTX V[cTc [O zFcU[VS

    IW_[TXWT[VNY]U

    HXYTVUR LUb[aURF[TaUcJTVXWUFSUXcUc]YTWW_Tccb[Uc_UUWTW_Ub[ac

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    91/110

    123456726893

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    92/110

    0

    1 2 3 5 6 7 8 9 1 5 2 8 3 1 6 1 7 5 1 3 5 6 7 7 3

    !

    "

    #$%#

    "

    #$!

    '&(

    )%

    $(

    *+,-

    &(.

    /+

    4:=

    ?@ABCD@E>@FGH@IJBGJIKCLJI@KKCB@IMK@HGNMGAOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOJJPCQRKJSTUBVNCWA@ISD@NUHOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOJJJPCNU@NUHOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOJJJXCAMD@YZ[@N@KGAN\CKDGUJCNOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOJJJXCAMD@]ZKCLJI@KGNI_CCVHOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOJL

    NUKCIMBUJCNOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOJL

    @IJBGJIKCSKGDIDJNJHUKGUJCNOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOJL

    >?@_HJU@OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOL

    >>@A@QTCN@GNIIIK@HH[MJI@OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOLJ>>@A@QTCN@GNIOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOLJJJ=UT@K>N\CKDGUJCNOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOJF abcefghijhekghklmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmnopqhfrihkstguqnlvwvxhkryptwzmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmo abcclf{nskl|k}ihnfgxmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmo

    abc~}kjhlfgnjihitghkljigky~tzbk}kxmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmo

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    93/110

    0 1 2 3 4 5

    6 7 8 6 7 8 6 6 6 8 8

    6 6

    !"!"#%&'()*+,)-+*)&.+./%

    9:;:?@:AB

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    94/110

    0 1 2 3 4 5

    6 7 8 6 7 8 6 6 6 8 8

    8 6 7 7 6 !

    "#$%$&'%'()*'%+$,+(-)%-+(.&/$)'%'-+&

    ,$-$$/'(+'+(.*'%)%,+)(+,$+($8 $', $+'+',,(&+)('%*',&+'&)

    9/$:+(.;''+&','$,%&)&/$$+,&+(.$%'&+)(,/+$&:$$(&/$*'+%%'9$;'(*'(+%'

    9%):$;$(&'%'/$,)&$$&/&/'&:+&/)&)$&+)(:+%%$,%&+('*'.$&)&/$&$*))*'(+%'

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    95/110

    0 1 2 3 4 5

    6 7 8 6 7 8 6 6 6 8 8

    6 6

    !"!#!$%&'!#(#)*&%(*&+,%-!./,(&&(*,&.&*!%-(*&/&(&&(*)!(*,&(/#!$%$(*&

    +,'!,$%((&&(*$(*$(*&+,$/#!$%#*,"&,(&%-&%($),-,-&&.!(&.&,/#&$

    (*&/%$%($&-+!,(!$%$(*&$)&$%((&&(*/),-#

    9:;;===> 6 ,##+,$/#!$%$/#)*&%(*&$)&-&%(,,*!#!%$%($?+!,($@(*&

    /&-&%(,,*7 &$&)!(*(*!#(&$$/#!$%/#/,*,"&,#($%$$(/#!"&*!%)*!*,%.&-/&($&!(*&*$!A$%(,+,%-!./,&'#$*$!A$%(,+,'!,-&!!&%6 $++$%&&&-($,#,%/%-&.!(&

    BCDCDECFHIJIKLMNOJPQLRLMOMLSJNKSTUTMVSPSJMLWXITYLWIN

    6 $+&*&%#!"&$(*$-$%(!#&"!+/#(.&$"!-&-.,.$,-&!!.&$.$,-&(!!&-$(*$-$%(!#(Z[\] _abcdefg;df:hf:ijkb9eleh9bfihf:ijkabidemebjfidnfjfgde;do:phbafg;ejbibjmfia9ebgd;eg

    :iqi:9fimifgdebi:ib:firnbib:aab;;dfa:ibe;:ge;;qbs

    8*&-!,%$#(!)$t/!#$%#!-&&-,($(*&&$(*$-$%(!(&,(+&%("!#!(?$&-/&$-&

    uvv@8 *&$$)!%$&-/&$-,&/#&-($#/.+!(,!+#$(*&-!,%$#(!)$t/w

    6 $+&*&%#!"&$(*$-$%(!#&"!!%/-&,$(*&$$)!%w !,%$#(!)$t/#,%-!%

    %!(!,.,t&(#

    &,&+&%(.,t&(#

    $%(*"!#!(#%!(!,&(,!%&!,$(*$-$%(!(&,(+&%(,!,%&?#@8*&$$)!%$&-/&$-,&/#&-($#/.+!(,!+#$$(*$-$%(!#&"!w

    x/.,%-!%!#,$)&-$%&+,%&%(-&%(!(!$%$%,%-(&,(+&%(#*$/-.&,$+!#*&-!%$%&

    #(,&,%-!#!+!(&-($$%&&!&(!+&

    '&(!$%w6 ,#$+!'&--&%(!(!$%+,.&$%#!-&&-)*&%(*&(&,(+&%(,%!%/-&'(,(!$%#$&+,!%!%!+,(&&(*$!%(*&,#&$&(,,(&

    BCDCDECDyTSNNzLMI{VITO|}

    6 $##.!(?,%(&!$,%-$#(&!$@,&-&!%&-.(*& +&!,% ,-&+$7&-!,(! &%(!#(? 7 @,#+,$/#!$%#!%"$"!%$%&$+$&(&&(*!%)*!*(*&+,'!,(&&(*$/-&!%/,)!(*(*&+,%-!./,,%(,$%!#(!?$$#!%@(&&(* $##.!(&,%.&$,-&%(,$#t&&(,$!!%$,$+.!%,(!$%$.$(*8*&!%(&%($$##.!(&(*&,!#($&"&%((*&%&&-$$+&*&%#!"&$(*$-$%(!(&,(+&%(8 *!#

    (&,(+&%(+,#&%(*&"&!($/(/&&&(#$,+,$+,(!$%&!+!%,(&!(#,/#&$+,!%/-&

    $,!A&-($$(*+$"&+&%(

    ~0

    0 uu uvv uv uv

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    96/110

    0 1 2 3 4 5

    6 7 8 6 7 8 6 6 6 8 8

    8 6 7 7 6 !

    6 "#$$%&'(')("*+,-.&/&'(#"')##'&$&$*..#(#"+"&/*",#"'"*$&'*.('&' "#$$%&'(

    ')("*+,&..#'%(#$&("(#"'"*$&'*.('&')(')("(&$*((#"..%*')(*.'

    '((')

    6 "#$$%&'(')("*+,/$'%($%/&''(&')+"#("(#( 9 #" : 6 .&('$&')$+(&*./(&*.

    #&'$/*,%(#$&("(#"&'("(+'&;(#"')##'&$(";&($#')(+"&/*",('&'&')($(";&($*"(/(&*..,(($$*",*$%/&''(&')+"#("(#( 9 6 "#$$%&'(')("*+,&$*&.$&;()*"(#"'"(*'&')("#$$%&'('##/+.(' ((+*#+,#')("(.(*$(#.&*%&.&',#"/#&.(**"("($+#$&%.(#"')&$#/('*'"&*"(;&(+"#($$+"(/*'"("(/#;*.#')(*++.&*($&$"(a($'(%(#"(#/+.('#'"(*'/('='"(#"')##'&$(";&($/*,#'%(#$&("(8 )(+"#;&("/$'#/('),')(+"(/*'"("(/#;*.*$(($$*",

    ?@A@AB@b]M[KI]IM[HHGMF_cKI\F_KU

    (+.*(/('%"*>('$-+"#("(#( :d*"(*%((&')(')(.&(''"*$("$"#/#(+"#;&("

    '#*#')("#")('"*/*&$&;#.;(

    efghijkfjlmgollpqrsfjlt

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    97/110

    0 1 2 3 4 4

    5 6 7 9 5 9 6 7 5 5 9 5 7 9 7

    5 5 9 9

    6!"#$%&$$%'(%")*$+&(,$'*&-$.$(/)&-$/%/&/&$$"$#&%'&/+/$-.'$$(%"!$

    /#(/"-/$&/.$(/ ##"/"(&*$".)%$.$(/+$'*&-$.$(/)&-$/%'-$#$-#$ 8"%

    *"."/$#/&-.)"($#//&*&.(/+ :%&.$'!"#$

    $)(#"(;:$-$.$(/"(;:$'&"++""/"(/$%-'$+/"%7 $"("/"&/$#/#(/"-/$&/.$(//;&'"!&/$&&(;$.$(/>"*$ $#"-&"#$*";")*$&$(/&)$($+"/+7 $&$=,$&%

    +&;$&(#*#$-*"$(/%>&!$$':/#(/"-&''*"&(-$''$8:/#(/"-&''*"&(-$*>$8^$(%)."//"(;-*&".%+-.'$$(%"!$/#(/"-/$&/.$(/'-$#$-#$ :/$$*-&*-#$%.%/)$%)."//$#&%$.&%-#$%&*(;>"/'-$#$-#$ -&*-#$%'-$#$-#$%_ : "&;(%/"->'&''!$#?_ :9 /#(/"-&''*"&(-$:''$?_ :9 /#(/"-&''*"&(-$:*>$8.%/)$'*&-$#"(/$ $.&%5 #$+"$*#($*$-/("--*&".%*-=T('&'$-*&".%

    abcdefhijkjlmknopqrjmsrtkqpjrukjpqrjvwxwxmkjsqhouylzhhjr{hijp|mzl}z||yjrjszjr~

    &-$.&%-#$'&,%/$-$-/$".)%$.$(/&/$>"-:>$(-.)"($#://&*%/$.&'&(#+**)&(#"(;)."%%"(+(*,($#$/&"*+&//&*+T>"**(/)$&--$'/$#3 -*"$(/"%&''!$#++**)&(#"(;:)/&+/$/$"("/"&*>':/$-*"$(/#"%-(/"($%/$&/.$(/7 "%'!"#$>*#%)."//$(&/"(&*'-$#$-#$ &(#'*&-$/$*-&*-#$_ : "&;(%/"->'&''!$#:"(/$ $.&%-..$(/+"$*#7 $-*&".>*#'&,T -*"$(/"%&''!$#++**)&(#"(;7 $'!"#$-(/"($%/$&/.$(/&(#'*&-$%/$.&*#%)."//$(&/"(&*'-$#$-#$ &(#'*&-$/$*-&*

    '-$#$-#$_ : "&;(%/"->'&''!$#:&(#_ : &*#'&,T

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    98/110

    0 1 2 3 4 4

    5 6 7 9 5 9 6 7 5 5 9 5 7 9 7

    7 5 6 9 6 9 5 9

    !!"!"#$%&'(##!)(*+,&%-%"./%"#&." */+$)"$")--%&-%()$"%"*)%+#&.")++()$".($

    $"-%"./%"#&."

    6%&(."%+*/+$)."%"$&$",&!!&('/(."!('"+,&%"!"#$%&'(##!)(*+/*(++(&'+&7 6 #)'

    )##/%)$"!)--!$"#&%%"#$%"*)%+#&."$&$")--%&-%()$"#!)(*."$)(!

    ()'&+$(#6%"./%"5 &."8 6 5 %"*)%+#&."*/+$"+/*($$".:&'!&'#":('$",(%+$$%""$"+&,$" 7 )$$"; !&&-?@ABDEF&%)#!)(*($&'"."$)(!:+/*($$".($-%"./%"#&." )'.%"*)%+#&."G H:"'$"%$"(',&%*)$(&')+,&!!&+ 6 5 G H7 "$&$)!+/*($$".&/!."IJK?@AB3EF&%)#!)(*($$&."$)(!+:"%"."$)(!+&'")'.$&)%"-%"./%"#&." )'.$"%"*)%+#&."+)%"G H)'.G :"'$"%$"(',&%*)$(&')+,&!!&+ 6 5 G HG 7 "$&$)!+/*($$".&/!."I;JK

    ?@ABLEF&%)#!)(*($$%""."$)(!+:"%")!!$%""."$)(!+)%"+/*($$".+"-)%)$"!($-%"./%"

    #&." :"'$"%$"%"*)%+#&.")+".&'$"&%."%&,$"#!)(*."$)(!)+,&!!&+

    6 5 G HG G 7 "$&$)!+/*($$".&/!."IJJK

    7(+*"$&."'+/%"+)##/%)$")'.)--%&-%()$"-)*"'$,&%+"%(#"+%"'."%".)'.)..%"++"+$"'"".,&%+/*(++(&'&,)-)%$()!#!)(*

    MNONOPNQSTUVWXYXZV[\]UX\Y_UXYabZYc d\WY_e

    f"'+/*($$('#!)(*+,&%&%$&.&'$(#-%"./%"+:/+"$",&!!&('-%"./%"#&."+ghijBklhB0 ikB mn?no>onipqrhosikiponjtBhunjBq

    v: ;v:

    Kv:)'.

    ;Jv

    J JHHJv "-!)#"+G w &$-))!"$&$"."'$(+$&-!)#".$")--!()'#"'#!/."+%"*&)!&,)%#)%)'.-%"*)$/%"%"*&)!&,%)#"+ xpoBhjB@onuBrhosikiponjyhB>o?Bpo Kv "-!)#"+G )'. (*($".$&&'"-"%!(,"$(*" wv "-!)#"+G )'. (*($".$&&'"-"%!(,"$(*"0 i?@hBsBpqnuBrhosikiponjyhB>o?Bpo

    v "-!)#"+G H:G :)'.G (*($".$&&'"-"%!(,"$(*"

    znpihyhB>o?Bpooi0 ipohiA1 >h?{lA1 >|noq

    v ","%$&+/+"#$(&'; :}v-"#()!9 %$&.&'$(# --!()'#"+~('$(+)'.&&

    ,&%)++()$".%"*)%+,("!.#&." v ","%$&+/+"#$(&'; :}v-"#()!9 %$&.&'$(# --!()'#"+~('$(+)'.&&,&%)++()$".%"*)%+,("!.#&."rosBhrhosikiponjtBhunjBq wwv "-!)#"+G "'("."'+/*($$".,&%$"+)*" 9 )+ ;K)'-%&(."% "'("."'+/*($$".,&%$"+)*" 9 )+ &% K $"+)*"-%&(."% wJv "-!)#"+G

    wv "-!)#"+G ;)'.G K&'"%"$)('"%-"%)%#-"%!(,"$(*"*)"%"-!)#".

    &'#""#)/+"&,!&++&%%"))"8-%(&%)/$&%()$(&'(+%"/(%".

    tBhunjBq@>>|ABoi>p1 0 {ih>jAnBpoBpjilpoBh

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    99/110

    0 1 2 3 4 5

    6 7 8 6 7 8 6 6 6 8 8

    6 6

    !"!"#%&'()*+,-.//*)'',*+)(

    9:;?@ABCD?E?9C:EF:A:GE?D

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    100/110

    0 1 2 3 4 3

    5 6 7 9 5 9 6 7 5 5 9 5 7 9 7

    7 5 6 9 6 9 5 9

    7!"#$%%$&'()*+,%"'-"(*'#'".*!"+//$/'+*" 6 5 "+.$-".*$."&!"("".*'()/'$+*!$

    '+*'$($.,'**'()+%+'#$/$"-"$-" $

    8:;

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    101/110

    0 1 2 3 4 5

    6 7 8 6 7 8 6 6 6 8 8

    6 6

    ! 7 6 " #$%&'()#**&+,-../*-/./&.&$/)&$.

    ! 7 6 " #$%&'()#*/)&$. ! 7 6 #&))#*#$.-*&*'*&%- ! 7 6 #&))#*'&.--$&$#)$+-&.#$.-*&*/*&$/ ! 7 6 #&))#*)&$(#)#*+&./(*/ ! 7 6 " #&))#*#$%9#$%&'()#*%&/.#)&:&$#)$+- ! 7 6 #&))#*;(#%-)&&. -9B#')-9#&))#**-.#&$-*

    ! 7 6 >= -9B#')-*/.-/&/

    ! 7 6 >> #&..#)#)$+- #

    ! 7 6 >? #&..#)#)$+-"# ! 7 6 > .#)-%#)#.#)-#$/&$#)$+- ! 7 6 > (*&+#)#*+&*-/ ! 7 6 ? (*&+#)/)&$./@/(*&+#)/.-$.F#

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    102/110

    0 1 2 3 4 5

    6 7 8 6 7 8 6 6 6 8 8

    8 6 7 7 6 !

    "#$#$%'()*+,(--+)./(++).(+(+)9'/:;)*?@A=?B?CADEF@?GDB>@HIJAE?HFK>A>LCBJDMCA=> CB>NO CMK>EKLJJDPDELAD?CQ8 => DCB>N@>RID@>JA=>IJ>?PLC JE?@>J=>>ALCBLS?K>TMLIM>P?@H>LJI@DCM

    7@?GDB>@JJ=?IKBU>E?CJ>@GLADG>DCJE?@DCM8 =>EKD>CAHIJAU>E?CJDB>@>BJ>G>@>=LCBDELFFDCMHLK?E

    EKIJD?CVDA=BTJPICEAD?CLKHLJADELA?@TOE=>VDCMQELFLEDATLJL@>JIKA?PA=>>NDJADCM@>KLAD?CJ=DF

    U>AV>>CA=>HLNDKKL@TOIFF>@QLCBHLCBDUIKL@OK?V>@QB>CALKL@E=>JLCBW?@A>>A=A=LAXVDA=?IA

    E?@@>EAD?CXVDKK@>JIKADCBLHLM>A?A=>A>HF?@?HLCBDUIKL@Y?DCAOJQO8 QLCBW?@?A=>@JIFF?@ADCM?@LKJA@IEAI@>JO>MXU?C>XADJJI>JXDCA@LLCBW?@>NA@L?@LKHIJEK>JX>AEQLCB=LG>LHDCDHIH?PZF?DCAJ?CA=> DCB>NA?U>E?CJDB>@>BP?@LCT?@A=?B?CADEEL@>?A=>@A=LCE@?JJUDA>E?@@>EAD?C[ LKPH?IA=\A@>LAH>CAELCC?AU>LFF@?G>B]DA=A=>EKD>CA?@H?B>KJDCA=>E>CA@DEF?JDAD?CXA=> DCB>NDJA?U>JE?@>BLJP?KK?VJ >E?@BLKKH>LJI@>H>CAJ@?ICB>B?PPA?A=>C>L@>JAHDKKDH>A>@OHHQ CA>@LJE?@>?P[\DPA=>E?CBDAD?CDJLUJ>CA

    0 _acdda_

    EK>PAFLKLA>ELJ>@>RI>JAP?@HDN>BB>CADAD?CVDKKU>E?CJDB>@>B?CKTDPCL@@LADG>YIJADPDELAD?CJIFF?@AJ

    A@>LAH>CAU>P?@>A=>EKD>CA@>LE=>JPIKKB>CADAD?C

    efghijklmnopllmkllnmrlomklnmstmuluorvmwxmmylzmr{{|}r~{mnmpo~tnur~{mlnmrlomklpuplu___dda_da>P>@JA?PLEDLKLEEDB>CAJ?CKT7 ?DCAJELCC?AU>LVL@B>BP?@E?CM>CDALKB>P?@HDAT>G>@>A@LIHLADEB>GDLAD?CJB?C?ADCEKIB>A@LIHLADE?EEKIJD?CJP?@E@?JJUDA>J__a_a_E?@>A=>ELJ>>NLEAKTLJH>LJI@>B8 =>H>LJI@>H>CAHIJAU>@>E?@B>BP@?HA=>H?JAF@?A@IJDG>DCEDJ?@XA=>CJIUA@LEA HHOE?CJDB>@>BA=>C?@HQXLCB>CA>@A=>BDPP>@>CE>LJA=>JE?@>

    _a__a_

    E?@>A=>ELJ>>NLEAKTLJH>LJI@>B8 =>H>LJI@>H>CAHIJAU>@>E?@B>BP@?HA=>KLUD?DCEDJLK>BM>?P

    A=>?G>@KLFF>BLCA>@D?@A??A=?@A>>A=A?A=>F?DCA?PHLNDHIHE?G>@LM>XA=>CJIUA@LEA!HH

    OE?CJDB>@>BA=>C?@HQXLCB>CA>@A=>BDPP>@>CE>LJA=>JE?@>

    ddca_a_E?@>A=>EKD>CA>NLEAKTLJH>LJI@>B8 =>H>LJI@>H>CAHIJAU>@>E?@B>BP@?HA=>[KDC>?P?EEKIJD?C\?PA=>F>@HLC>CAA>>A=XC?AP@?HA=>>EA?FDELKKT>@IFA>BA>>A=DCA=>LCA>@D?@J>MH>CArtlp|kpurypumypktkymnlrpklnmrlomkl||mk~plmupk|{ymnlmmkrmnu~mxrtum|lzmnmstmkxv|nm{rum_a__a_E?@>A=>ELJ>>NLEAKTLJH>LJI@>B >LJI@>H>CAHIJAU>@>E?@B>BP@?HA=>KDC>?P?EEKIJD?C?PA=>F>@HLC>CAA>>A=XC?AP@?H>EA?FDELKKT>@IFA>BA>>A=DCA=>LCA>@D?@J>MH>CArtlp|kpurypumypktkymn

    lrpklnmrlomkl||mk~plmupk|{ymnlmmkrmnu~mxrtum|lzmnmstmkxv|nm{rum

    7 6 8 ??A=F?JDAD?C>@VDA=L@E=

    7 6 Z 8 @LCJFLKLALKL@E= 7 6 8 V?ULCBJVDA=A@LCJFLKLALKL@E=LCB=?@D?CALKF@?Y>EAD?CJP?@VL@B 7 6 FFKDLCE>

    c__

    0 _

    _d

    0 _ _d0 __a

    __dd_ad1 0 d_a_a_

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    103/110

    0 1 2 3 4 5

    6 7 8 6 7 8 6 6 6 8 8

    6 6

    !"#$%!'($"%#)

    *+*+,+-./-*+/*,+-,9.-:-.+,/;,--9,,..-;9

    /+/*;,**.+;---;--.-**9,.-*;,/-..-.A+**,?*.*9-=,-.>.-;9BCDEFGHIJKLNOHPJKHQHKRJSQIJTLRNRJTUVJTJNRTIWSLHXQIJKHYNHHNOZKJP[T[KIORZNO[N[KIORQNJ\HIJSTNHLRTNOHI[NH]JKJZ_TNHKRJKKJaLRT]UbJKH[IO[KIOcHRNOHKNOHHINJdRIHKSdNRJTJK[TNHKRJKIKJaLRT]P[\HQIJKHLc\SNTJN\JNOUe)"f'%#'0 '#gh%)i .*9*,+*

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    104/110

    0 1 2 3 4 5

    6 7 8 6 7 8 6 6 6 8 8

    8 6 7 7 6 !

    "#$#$%#&()*+,-./+//

    89:;?@@A>@9;B;@

    7@;B9>@

    C BB9B

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    105/110

    123456726893

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    106/110

    0123456

    1

    5

    7

    82

    !

    "

    #$

    %

    !&'()$

    !

    $

    (

    '

    !#(!*

    "*+

    (

    !

    (($%')+

    *

    $

    $

    $$

    ,

    -

    --

    .

    -

    --

    /

    --

    -

    --

    -

    --

    -

    --

    -

    --

    -

    --

    -

    ,

    ,

    ,

    --

    ,

    .

    --

    ,

    /

    --

    ,

    --

    ,

    -

    -

    --

    ,

    --

    ,

    --

    ,

    --

    ,

    --

    .

    --

    .

    ,

    --

    .

    .

    -

    --

    .

    /

    -

    --

    .

    --

    .

    -

    --

    .

    --

    .

    --

    .

    --

    .

    --

    /

    --

    /

    ,

    --

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    107/110

    0123456

    1

    5

    7

    82

    !

    "

    #$

    %

    !&'()$

    !

    $

    (

    '

    !#(!*

    "*+

    (

    !

    (($%')+

    *

    $

    $

    $$

    ,

    -

    .

    ..

    ,

    ,

    ..

    ,

    /

    ..

    ,

    ..

    ,

    ..

    ,

    ..

    ,

    ..

    ,

    ..

    /

    ..

    /

    ..

    /

    -

    ..

    /

    ,

    .

    ..

    /

    /

    .

    ..

    /

    ..

    /

    ..

    /

    ..

    /

    .

    .

    .

    ..

    /

    ..

    .

    ..

    .

    ..

    -

    .

    ..

    ,

    .

    ..

    /

    ..

    ..

    .

    .

    ..

    ..

    ..

    ..

    .

    .

    ..

    ..

    -

    ..

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    108/110

    0123456

    1

    5

    7

    82

    !

    "

    #$

    %

    !&'()$

    !

    $

    (

    '

    !#(!*

    "*+

    (

    !

    (($%')+

    *

    $

    $

    $$

    ,

    -

    ..

    $

    '

    /

    /

    /

    /

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    109/110

    123456789675

  • 7/30/2019 Texas HHSC-OIG Brief and Closing RE:: Antoine Dental v HHS-OIG

    110/110

    5

    9

    5

    9

    9

    6

    7

    8

    9

    5

    9

    9

    9!

    " # # " " # # "

    #$ #1 % %

    #

    "# #1 1 %

    "

    #$ #1 # %

    1

    "& "$ $

    '

    #( #1 2 %

    $

    #( #1 %

    (

    "# #1 2 %& "' #1 ' %

    2 #( #1 % %

    % % % $ %

    #( #1 ' %

    # "$ "$ ( "

    " "$ "$ % %

    1 "" "% # %

    ' ' ' "$ #& %

    $ "$ "% " %

    (

    "2 "$ " %

    &

    #& #1 % %

    2

    1% "$ $ %

    #%

    #2 #( ( %

    #

    "% #1 2 %

    ##

    #& #1 " %

    #" #& #1 2 %

    #1 #2 #1 %

    #' #( #1 %

    #$ " # # %

    #( #2 #1 " %

    #& #& #1 % %

    #2 #2 #1 ' %

    "% #& #1 " %

    " #$ #1 ' %

    "#

    11 "$ ' %

    ""

    1& "$ # %

    "1

    "% #( ( %

    "'

    " #1 $ %

    "$

    #2 #1 % %

    "(

    #2 # ' $

    "& #$ & 1 %

    "2 #( #1 ( %

    1% "" "% 1 %

    1 "% #1 ( %

    1# #& #1 # $

    )*+),-*0,4./**