CDA-sponsored legislation that further increases dental plan transparency became law on Jan. 1. AB 954, authored by Assemblymember Jim Wood, DDS, and signed in October by Gov. Gavin Newsom, requires dental plans to be more transparent about the leasing of dental networks. The new law will reduce patient and dentist confusion caused by the increasing number of plans leasing their networks to other payers, many times unbeknownst to the enrollee or contracted dentist(s).
The law took effect for contracts entered into on or after Jan. 1, 2020. Through the provisions outlined in AB 954, the contractual information provided will enhance clarity for patients and dentists on the patient’s potential out-of-pocket costs while protecting the dentist-patient relationship through a more informed treatment planning process.
Under the law’s provisions:
Medicare or Medicaid dental plan agreements are exempt from the requirements of the law.
CDA’s ability to advocate for its members comes directly from member-reported challenges with dental benefit plans. CDA Practice Support is here to help answer your dental benefit questions and offer individual member assistance. Simply submit your questions online using the dental benefit submission form accessible through your cda.org account. Once received, Practice Support will analyze the issue, evaluate it for possible resolution and communicate clear next steps.
To submit your dental benefits question, visit My Account at cda.org, click the link for Dental Benefits Issue Submission and follow the prompts.
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