The U.S. Congress is working to finalize the details of President Joe Biden’s Build Back Better Act, and the framework of a final deal is near. While the details of the negotiated agreement have not been made public or acted on by Congress, it appears unlikely that a Medicare dental benefit will be included in the final legislation.
A significant amount of activity is underway in the U.S. Congress focused on adding dental, vision and hearing benefits to the Medicare program, and the proposals are moving quickly. This communication from CDA supplements what the ADA, media and other sources have shared to give members background and context for the current activity and clarify some common misunderstandings.
CDA has heard from many specialist members — endodontists, periodontists and oral surgeons — who are facing reimbursement reductions under their Premier provider contracts with Delta Dental of California
It is important that dentists and their teams know and understand their rights when appealing a claim denial and how the law can protect you and your patient. To minimize the frustration of dealing with a claim denial, it is important to understand how a lot of claims are processed today.
California Insurance Commissioner Ricardo Lara last Wednesday issued a notice to California health insurance and specialized health insurance companies, including 55 dental benefits companies, requesting that they “provide their policyholders with a partial premium refund no later than December 31, 2020.
Gov. Gavin Newsom today laid out a new 2020-21 California budget proposal that slashes billions of dollars in spending in an effort to tackle a massive $54 billion deficit. During the COVID-19 pandemic, California’s revenues plummeted, wiping out the state’s $6 billion surplus.
Medi-Cal Dental providers can now submit claims and be reimbursed for patient consultations by telephone or livestreaming video, DHCS announced in a special edition of its April Provider Bulletin. CDA advocated for DHCS to implement the policy to assist California dentists.
I love spreading good news, and the CalHealthCares professional education loan repayment program is about the best news for current pediatric dental residents and recent post-doctoral alumni I can imagine. In July 2019, the program, funded through Proposition 56 tobacco tax revenues and administered through contract by the Department of Health Care Services, awarded $10 million in student debt relief to 38 California dentists.
Health care providers can expect to see major revisions to the Medi-Cal program over the next couple of years as a result of a new initiative by the Department of Health Care Services. Released in late October, the California Advancing and Innovating Medi-Cal (CalAIM) proposal will implement “broader delivery system, program and payment reform across the Medi-Cal Program,” according to the proposal summary.