Arkansas enacted a law April 14 that requires Medicaid to reimburse dental schools and academic medical centers for services provided to individuals with high complexity oral healthcare. Under Act 568, Medicaid is now required to reimburse these centers for dental…
Revenue Cycle Management
A growing number of dentists in Kentucky are pulling out of the state’s Medicaid program due to low reimbursement rates, the Courier-Journal reported April 6. Five notes: 1. More than 1.5 million Kentucky residents rely on Medicaid to receive…
A bill in Illinois that would require dental insurance companies to cover dental visits immediately was passed in the state Senate. Senate Bill 1392 requires dental insurers to send payments directly to dental providers when requested by a patient, according…
From advancing legislation to new modifier codes, here are 10 updates to know impacting dental Medicaid and Medicare that Becker’s reported on in the first quarter of 2025:
Nebraska is struggling to increase the number of dentists participating in its Medicaid program despite increasing reimbursement rates, Nebraska Public Media reported April 2. Five notes: 1. Fewer than half of the state’s dentists accept Medicaid patients. 2. Medicaid’s reimbursement…
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Adults in Utah who are 21 and older are now eligible for dental coverage under Medicaid, the Utah News Dispatch reported April 1. Previously, those eligible for dental coverage included children, pregnant women, adults undergoing treatment for substance use disorder,…
A Kansas dentist has filed a lawsuit against several insurance companies alleging conspiracy to suppress out-of-network payments to healthcare providers. Dennis Ayer, DDS, of Leawood, Kan., filed the lawsuit March 31 against Zelis Healthcare, UnitedHealth Group, Elevance Health, Aetna and…
The Guardian Life Insurance Company of America has expanded access to individual dental insurance products. The new expansion is designed for individuals who do not have access to or are not eligible for traditional workplace benefits, according to a March…
The orthodontic scoring tool within the Illinois Medicaid program has updated its rules and scoring criteria. The update is in part due to the Illinois State Dental Society’s work during the 2024 legislative session to secure $12 million in funding…
The Arizona Senate recently passed a bill to expand the state’s adult Medicaid coverage to include comprehensive dental benefits. Three notes: 1. The Arizona Medicaid program currently only covers emergency dental services for adults. 2. If the bill is passed,…