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A San Francisco Superior Court judge ruled last month that CDA and individual dentist-plaintiffs could proceed on their claim that Delta Dental breached the implied covenant of good faith and fair dealing in adopting the 2023 contractual amendments.

In a live virtual meeting on May 10, members learned about CDA’s litigation against Delta Dental of California and key legislation to improve dental plan transparency and coverage. The presenters also highlighted tools and resources available to CDA members to help ease dental plan frustrations and challenges. 

On behalf of members, CDA has filed a legal action against Delta Dental of California in San Francisco Superior Court. The action challenges Delta Dental’s adjustments to Premier and PPO provider agreements effective Jan. 1, 2023.

The Department of Managed Health Care asked Delta Dental to report any rate changes affecting over 10% of its provider network to the department. Additionally, DMHC is monitoring its help desk for calls from consumers.  

Reports from CDA members during the last week on contract change notification letters sent by Delta Dental of California raise additional concerns for CDA about the proposed changes. 

Delta Dental of California is revising its Delta Dental of California Participating Provider Agreement effective June 1, 2022. Although described as an “enhancement,” the contract amendment alters reimbursement for Premier or PPO contracted dentists who treat DeltaCare® enrollees as out-of-network providers. 

CDA Practice Support continues to hear from member dentists impacted by Delta Dental of California’s contractual change under Participating Dentist Rule 2, Basis of Fees that took effect September 15, 2018. Dental practices can take action annually to avoid negative impacts.

Dr. Tippett-Whyte discusses the latest developments with Delta Dental's planned fee cuts and provides insight on CDA’s ongoing advocacy efforts to ensure Delta Dental honors its obligation to providers.