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On March 3, Sens. Debbie Stabenow (D-MI), Cory Booker (D-NJ), and Ben Cardin (D-MD) introduced the Oral Health for Moms Act, which would expand oral health coverage in Medicaid for those who are pregnant or postpartum. The bill would also expand funding for dental services at Federally Qualified Heath Centers and make oral health coverage during pregnancy and postpartum an Essential Health Benefit (EHB). NADP provided recommendations related to the EHB provision and will continue to engage with bill sponsors moving forward. The bill will not be considered as part of the COVID relief package currently moving in the Senate.

Plan now to participate in the 2021 NADP Research program. Your participation enhances the value of NADP surveys for your company and the industry. Following are details about current surveys.…

On July 19, the Oregon Governor signed H. 3159, which requires health care providers and insurers, including standalone dental plans (SADPs), to collect from a patient, client, or member, data on race, ethnicity, preferred spoken and written languages, disability status, sexual orientation, and gender identity.

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.

MonthlyByte     May 2015     NADP Continues Prep for Equitable Treatment Fix While there is likely to be little to no political movement on ACA technical fix-it bills…

MonthlyByte     July 2015   New DI Discussion on the Next Big Thing in ACA Implementation: State Innovation Waivers Section 1332 of the ACA includes provisions on Innovation Waivers,…

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.