Final Medicare Reg for CY 2022 Clarifies Reimbursement of Opt-Out Providers by MA Supplemental Benefits

…One noteworthy item is a finalized amendment to 42 CFR § 422.220, which will allow Medicare Advantage (MA) supplemental benefits to reimburse providers that have opted out of Medicare. This could…

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HHS: 1,089,834 Dental Plan Selections on Exchanges Nov-Jan

Health and Human Services (HHS) released a report this week announcing more than 9.5 million Americans have selected or been automatically reenrolled into a 2015 Qualified Health Plan (QHP) through…

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CA DMHC Requires Provider Directory Filing

…require carriers to complete and submit the attached Excel document or Template on elements included in the Directory. It is unclear if and which reported Exhibits could be made public….

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New DI Discussion on the Next Big Thing in ACA Implementation: State Innovation Waivers

…new webpage specifically on the topic of 1332 waivers, NADP posted the following with background information and education. Members are encouraged to post updates from their states and ideas on…

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Are your research contacts current?

Are your research contacts current? Participating in NADP surveys adds value to your membership and the published reports. In preparation for the 2023 research year, NADP is updating its lists…

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NADP Comments to CA Insurance Dept. on Network Adequacy

On Nov. 9, 2015, NADP provided comments to the California Department of Insurance (CDI) regarding proposed, permanent network adequacy regulations. The letter recommends CDI exempt dental plans from the regulations,…

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March 31 Deadline for NADP Benefit Utilization Trend Survey – 2022

March 31 Deadline for NADP Benefit Utilization Trend Survey – 2022 For industry data regarding non-DHMO dental insurance completed, paid dental procedures per 1,000 enrollees by month, by state and…

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Massachusetts Court of Justice Upholds Dental Loss Ratio Ballot Initiative Certification

On June 15, the Massachusetts Court of Justice upheld the Attorney General’s certification of ballot initiative 21-13, “Initiative Petition for a Law to Implement Medical Loss Ratios for Dental Benefit…

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Call for Nomination: DQA Seeks Volunteers

Through this announcement, the Dental Quality Alliance is issuing a call for nominations for the following: DQA Clinician Level Measure Development Ad-Hoc Workgroup: This workgroup is tasked with exploring the…

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Consortium Pilot Delivers Expanded Professional Development

…Brokers Contracting Implications of MLR Building on this success, NADP is excited to announce the 2025 consortium theme: Navigating Dental Access, Provider Networks, and Regulatory Compliance Nationwide. Stay tuned for…

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