12/05/2017

Supplemental reimbursements receive federal approval


Significant rate increases for hundreds of procedures covered by Denti-Cal have been approved by the federal government. The supplemental payments of 40 percent are the result of CDA-sponsored Proposition 56 and the unprecedented investment of $140 million in the Denti-Cal program, which will be matched with federal dollars for a potential total of $350 million for fiscal year 2017-18.

During the budget cycle, CDA and coalition partners strongly advocated for the funding after voters approved Proposition 56, a $2 tobacco tax intended to save lives and improve access to care. Payments to fee-for-service providers will include the supplemental 40 percent bonus on applicable services after Nov. 30. Dental Managed Care providers will receive the supplement payments through their plans after the Department of Health Care Services develops the payment methodology. Both fee-for-service and dental managed care providers will receive retroactive payments to July 1, 2017. Payments are expected to take a few months to fully process. Dentists do not need to change the billed rates submitted to Denti-Cal, as the supplemental reimbursement will be calculated and sent by the Denti-Cal fiscal intermediary.

For more details view the November 2017 Denti-Cal Bulletin. To learn more about the Denti-Cal program, visit cda.org or contact CDA Public Affairs at 916.554.4984.



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