NADP Cited for Dental Exemption in OH Network Rules
Late last week, Erika Cybulskis with Delta of OH provided a memo and updated draft OH rule on provider networks, which show the Ohio Department of Insurance (DOI) has revised the definition of “health benefit plan” to eliminate the inclusion of dental plans.
ODI describes reasons for this change in the ODI memo, citing NADP and carrier input:
Redefining health benefit plan
As described in NADP comments on the prior version, the draft rules would require administrative and technical system changes the resulting costs of which would necessitate dental premium increases without added benefits to the consumer.
This is an incredibly positive development and we appreciate the work of the Government Relations Workgroup (GRW) and Ohio members in developing comments and communicating to the ODI on these critical issues.
Following the submission to the Common Sense Initiative (CSI), CSI will issue their business analysis review of the rule to ODI. The outcome of the review will determine whether additional clarifications are necessary or whether ODI can move forward with the JCARR process.
We will continue to discuss these regulations and OH activities within the GRW and provide updates in the Dental Interact (DI) Government Relations Open Forum.