State Regulatory Issues & Network Adequacy Updates

The Government Relations Workgroup (GRW) and its subgroup on Network Adequacy monitor legislative and regulatory proposals impacting the dental benefits industry. The following are several recent updates from the groups’…

Read More

2023 State Fact Sheets Are Here

…Fact Sheets also include national data about the population covered by dental benefits, utilization of benefits and definitions of dental plan types. State Fact Sheets are included in NADP membership…

Read More

ACA Special Enrollment Period Extended

On March 24, the Biden Administration extended the ongoing Affordable Care Act (ACA) special enrollment period (SEP) by three months on the federal exchanges. The SEP is now set to…

Read More

President Biden Signs Executive Order on ACA and Medicaid

…both Congress and HHS for a special open enrollment period to allow individuals effected by the COVID-19 pandemic to purchase medical and dental coverage on the federal exchanges. Furthermore, NADP

Read More

Georgia Waiver to End Exchange Approved

…IT, and re-enrollment. As a result of the waiver, analysts estimate that up to 99,000 Georgians could lose health coverage, mostly from the loss of auto-reenrollment. This is the third…

Read More

CA DMHC Posts Final DLR Reporting Guidance

On April 24, the California Department of Managed Health Care (DMHC) issued final guidance regarding dental loss ratio (DLR) reporting. The DMHC has updated its website to reflect a new…

Read More

Network Administration Report Coming in December 1

Network Administration Report Coming in December 1 November 29, 2023 NADP is finalizing the 2023 Network Administration and Network Statistics Report, which will be available online in December in the…

Read More

Q1 2021 Benefit Utilization preliminary report delivered to participants

Earlier this week, NADP delivered the 2021 Dental Benefits Report: First Quarter 2021 Benefit Utilization report to companies participating in the first quarter survey. For more information or questions about…

Read More

NADP’s Advocacy Improves Dental Transparency Bills in TX and CT

…bill to the Transparency in Dental Benefits Contracting Model Act adopted by the National Council of Insurance Legislators (NCOIL) in December 2020. For more information, contact Director of Government and Regulatory Affairs, Teresa Cagnolatti…

Read More

CMS Releases Exchange Rules, Application Templates, Letter to Issuers

…Marketplaces (FFMs). One item of particular interest to dental plans has been the proposed provision regarding aging off pediatric dental benefits when an enrollee turns 19. It appears the Benefit…

Read More