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The deadline for potential revisions to the American Dental Association’s 2024 Codes on Dental Procedures and Nomenclature (CDT) is quickly approaching. NADP is encouraging our members to take advantage of our voting seat on the ADA Code Maintenance Committee by filing proposals via the NADP Codes Sub-WorkGroup (SWG) by Aug. 31, so they can be considered for submission as industry consensus proposals.

On July 7, the Centers for Medicare and Medicaid Services (CMS) released the proposed rule “Medicare and Medicaid Programs: The calendar Year 2023 Payment Policies under the Physician Fee Schedule and Other Changes to Part B Payment Policies, Medicare Shared Savings Program Requirements, etc.” (CMS-1770-P), which sets the reimbursement rates to medical providers for the Medicare program. The proposed rule includes an expansion of dental coverage under Medicare Part B for “medically necessary dental and oral health services,” which are related to transplant procedures or a chronic medical condition.

In July, NADP served the membership and dental benefits industry in meetings with key stakeholders and as a resource for the media. NADP members and staff were also in the news for their exceptional volunteer contributions to related industry organizations.

NADP last facilitated a survey of employers’ attitudes and behaviors toward dental benefits in 2020. The Employer Tracking Survey is 100% supported by sponsors of the research, and results will only be available to sponsoring companies.

Summertime is sizzling with significant activities at NADP! With a laser focus on our mission, the Association is involved in multiple initiatives that will add value to your membership, strengthen our services, and recognize our invaluable volunteers who drive our programs.

Your participation in the NADP research program adds value to your membership and the published reports

Louisiana SB 112 was signed into law June 16. The bill initially required plans to grant providers, including dentists, prior authorization exemptions if they obtained prior authorization of claims for…

On June 15, the Massachusetts Court of Justice upheld the Attorney General’s certification of ballot initiative 21-13, “Initiative Petition for a Law to Implement Medical Loss Ratios for Dental Benefit Plans,” which would establish an 83% loss ratio requirement for dental plans in Massachusetts. The state Legislature will now confirm the ballot initiative and present it to the state’s voters during the Nov. general election.

On June 28, the House Energy and Commerce Committee held an oversight hearing on Medicare Advantage plans with federal officials. The hearings focused on medical plan use of prior authorizations in the program, spurred by a Health and Human Services Inspector General report released in April.

As an exclusive member benefit, NADP annually publishes a red-line version of new CDT Codes to indicate revisions for the coming year. The “Change Document” is distributed to member plans…