Revenue Cycle Management

Starting July 1, dentists enrolled in Medicare will need to add an administrative modifier code to each procedure code on the ADA dental claim form, according to a Jan. 14 news release from the American Dental Association.

Here are 20 updates to know on dental Medicaid and Medicare that Becker's reported on in 2024:

A study conducted by researchers at Mass General Brigham uncovered that less than 10% of Medicare Advantage plans offered a dental benefit that met quality standards, according to a Dec. 26 news release. 

Washington state Insurance Commissioner Mike Kreidler has fined Delta Dental of Washington and its healthcare benefit manager $130,000 for improper claim denials, according to a Dec. 12 news release from the commissioner's office.

The Alabama Dental Association has launched a campaign advocating for dental insurance reform legislation, including a medical loss ratio, according to a Dec. 11 report by WSFA 12.

The end of the Public Health Emergency in 2023 has led to a decrease in enrollment for dental benefits, according to the 2024 Dental Benefits Report from the National Association of Dental Plans.

Pennsylvania State Senate Democratic leader Jay Costa announced plans to reintroduce a bill that would restore dental care coverage for Medicare beneficiaries.

The American Dental Association submitted comments on the proposed Notice of Benefit and Payment Parameters for 2026, according to a Nov. 15 news release from the ADA. 

Nonprofit health plan CareSource launched an enhanced benefits package, including dental benefits, for its dual eligible special needs plan, according to a Nov. 11 news release from the company.

A study published in The Journal of the American Dental Association put forward prospective plans for Medicare to add an adult dental benefit.