Alert: Career Opportunities Available
Start your career as a Dental Assistant today. Join the Smile Crew CA!
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.
The planned fee reductions affect approximately 2200 endodontists, oral surgeons and periodontists in the Delta Dental Premier network.
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.
Eligible dentists and dental students in California can apply Jan. 13 to Feb. 7, 2020, for student loan repayment of up to $300,000 or a practice support grant — also up to $300,000 — through the CalHealthCares program. To improve their chances of scoring highly, applicants are encouraged to prepare early by reviewing all materials, including eligibility requirements and Q&A, and attending an upcoming live webinar or watching a recorded webinar.
Improvements to the Medi-Cal Dental program continue with new options for dentists who treat Medi-Cal members, including the ability to provide fluoride treatment and fluoride varnish as a benefit once every four months for patients under age 6. The increase in the benefit periodicity underscores the state’s commitment to regular preventive oral health visits for young children in California.