Dental Benefits Collaborative Updates - Including Date Change

“Complete Denture Benefit
The Department is presenting an emergency rule at the Medical Services Board (MSB) Friday, June 13th to authorize coverage of complete dentures once every 7 years, upon prior authorization, for adult clients age 21 and over. As mentioned previously, if the MSB approves the rule, this new denture benefit will appear in rule separate from the adult dental benefit effective July 1, 2014 and will not be subject to the yearly $1,000 adult dental limit. Note: Although the Complete Dentures Benefit will not be subject to the $1,000 annual adult dental limit, complete dentures will be subject to a set Medicaid allowable rate.

Children’s Dental Benefit

• In the last few weeks the Department has continued to receive insightful feedback on the proposed Children’s Dental Benefit Coverage Standard. Because the Department is committed to implementing a benefit that promotes the health of children, is evidence based and sets reasonable limits upon services, we are looking into this most recent feedback presently.
• As a result, the Department has decided not to take the Children’s Dental Rule to the MSB for initial reading on June 13th as originally planned. We hope to take the rule for initial reading in July and will provide further updates as soon as they become available.
• New Target Date of Friday, July 11 (9am-12pm) – Planned initial reading of Children’s Dental Rule in front of MSB.” [Source: HCPF]