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To provide value to NADP member companies offering dental benefits via government programs such as the health insurance marketplaces, Medicare, Medicaid or the Children’s Health Insurance Program (CHIP), the NADP Government Funded Program WorkGroup (GFP WG) volunteers continue to monitor key legislative and regulatory issues.

To help our members save time and money, the NADP Operations WorkGroup has developed the Provider Directory Validation Program (PDV), featuring a uniform spreadsheet with data elements agreed upon by industry representatives. Several dental plans and DSO members have already participated in PDV and have favorable results.

Members have reported from a recent Banking, Commerce and Insurance Committee hearing that Nebraska legislative bill (LB) 553 on non-covered services (NCS) will likely either be amended to align with the National Conference of Insurance Legislators (NCOIL) definition for “covered services” or be pulled from consideration.

On April 24, the California Department of Managed Health Care (DMHC) issued final guidance regarding dental loss ratio (DLR) reporting.

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In its meeting later this week, the National Association of Insurance Commissioners (NAIC) Executive Committee will consider approving proposed amendments to its Network Adequacy Model Act (Model #74). The amendments are the result of over a year’s work with weekly conference calls of the Regulatory Framework B Task Force and a subgroup.

The Research Commission published six annual Statistical Reports, four Sales Reports, and two Shared Research reports this year, with two more Statistical Reports pending release in January 2017.

The NADP Exchange Policy Workgroup (EPW) will meet this week to discuss the recently proposed Notice of Benefit and Payment Parameters for insurance Marketplaces in 2018 and develop comments from the industry.

In the South Carolina June Register (PDF), the Department of Consumer Affairs (DCA) published a notice to withdraw the proposed regulations on Discount Medical Plan Organizations (DMPO).