Bytes

Georgia Waiver to End Exchange Approved

January 25, 2022

On Oct. 15, CMS announced it completed the review process for the Georgia Access Model ACA Section 1332 waiver and approved it. The waiver ends the use of the Federally Facilitated Exchange (FFE) in Georgia and creates a reinsurance program for qualified health plans. In the absence of a centralized exchange, plans and brokers will assume expanded roles in marketing, IT, and re-enrollment.

NADP Sending Plan Directory Updates in March

January 25, 2022

March is the month for annual updates to the NADP database and membership directories.

NADP Members Advocate for Improved Access to Dental Benefits at AIA

January 25, 2022

National Association of Dental Plans (NADP) members urged Congressional leaders to push for a technical update of Healthcare.gov to enable the independent purchase of dental plans, leading to expanded coverage opportunities to more consumers during its 2021 virtual Congressional industry fly-in, “NADP Advocacy in Action,” April 27-29.

NADP Pulse – July 2021

January 25, 2022

The mission of NADP is to promote and advance the dental benefits industry to improve consumer access to affordable, quality dental care. The association’s mission is one of the main reasons my company is an NADP member. This month, I want to highlight some key initiatives NADP is currently undertaking to advance our mission.

NADP Pulse – October 2021

January 25, 2022

The end of 2021 will soon be here. Like many of you, NADP is preparing for 2022 while wrapping up current projects. We’re also keenly aware of the events in Washington, D.C., and continue to represent you on the issues impacting your business. I want to briefly highlight some key developments that will impact us in the coming year.

TST Triumphs in 2019

January 25, 2022

TST Triumphs During the first quarter, the Terminology Workgroup (WG) reviewed their underlying High-Level Initiative contained in the NADP Strategic Plan and proposed a replacement for HLI2 with operational plans…

Washington Exchange Continues Discussions on Addition of Family Dental Benefits

January 25, 2022

The Washington Health Benefit Exchange (WHBE) Board met last week and discussed the potential pros and cons of adding family dental benefit offerings on their Marketplace

MOOP Increase Proposal

January 25, 2022

The medical maximum out-of-pocket (MOOP) is indexed annually per the ACA, while the dental MOOP was initiated within HHS regulations and is not tied to a formula and therefore remains stagnant. DDPA has proposed a formula which ties correlates any dental MOOP change to the dental services CPI provided by the Bureau of Labor and Statistics with increases set at increments of $25 per child.

NAIC Subgroup Retains Discount Model Act, May Consider Revisions in the Future

January 25, 2022

The NAIC Model Law Review Initiative (B) Subgroup met last week to review several Model Acts for compliance with the NAIC’s Procedures for Model Law Development.

NADP to Meet with CCIIO Director

January 25, 2022

NADP, DDPA and DentaQuest will be meeting with Kevin Counihan, the current Director of HHS’s Center for Consumer Information and Insurance Oversight (CCIIO) mid-July.