Dear members and colleagues: The lack of accountability and transparency from dental plans is painful for dentists, our practices and…
Dear members and colleagues: I’m reaching out with an update on CDA’s ongoing dental plan reform initiatives, along with an…
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.
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.
Delta Dental of California’s proposed reductions to the “maximum allowable fees” for approximately 2,200 endodontists, periodontists and oral surgeons in California will not take effect July 1, as previously scheduled. Instead, Delta Dental has decided to indefinitely postpone the previously announced fee reductions.
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
Delta Dental of California has announced a delay in implementing fee structure changes for endodontists, periodontists and oral surgeons. Due to uncertainty caused by COVID-19, Delta said it plans to delay the implementation date of Jan. 1, 2021, to July 1, 2021.
What started the legal action that led to this settlement? CDA filed the legal action in August 2013 after learning…
