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Apr 20 2021
Within the last two years, DentaQuest has garnered a lot of attention from Ohio dentists as it began administering the dental component of CareSource’s Medicaid HMO product and through its acquisition of the private insurance company Dental Care Plus Group (DCPG). Representatives of the Ohio Dental Association, through the ODA Medicaid ... [continue reading]
Mar 11 2021
When it comes to managed care contracting issues, one of the more common calls the Ohio Dental Association receives involve leased dental networks. Callers’ questions typically are something like: How can I be bound to a plan’s fee limits when I never signed a contract with that plan? Can I stay in the network but opt out of one or two ... [continue reading]
Feb 12 2021
The Ohio Dental Association Council on Dental Care Programs and Dental Practice continues to monitor and address third-party payer issues on the ODA membership’s behalf. One issue of particular note that the council has been monitoring involves silent discount arrangements that are commonly known as “silent PPOs,” “ghost PPOs” or ... [continue reading]
Jan 18 2021
Effective May 1, 2020, CareSource transitioned the administration of the dental component of its Medicaid HMO product to DentaQuest. A number of issues have emerged as a result of this transition. Representatives of DentaQuest and the Ohio Dental Association, through the ODA Medicaid Working Group, have been working together to identify and then ... [continue reading]
Dec 18 2020
Like with almost everything else, 2020 was a challenging year for dentists and dental offices when it came to dental insurance and third-party payment issues. While nothing seemed to come easy, the volunteer member dentists who served on the ODA Dental Insurance Working Group and the ODA as a whole took an active role in assisting the membership ... [continue reading]
Nov 11 2020
The Ohio Dental Association has written Aetna Dental PPO to express its concerns with a recent decision by Aetna to substantially reduce network dentists’ reimbursement. The ODA’s action is in response to a number of ODA member dentists who contacted the ODA after receiving a letter from Aetna Dental PPO that it would be utilizing a new fee ... [continue reading]
Oct 14 2020
The end of this year will mark the end of the 133rd General Assembly. That means all pieces of legislation pending before the Ohio legislature that have not been adopted into law will be discarded. If these legislative proposals are eventually to become law they must then be re-introduced and begin the legislative process all over again in the ... [continue reading]
Sep 3 2020
More attention is being given to dentists having a separate charge for personal protective equipment (PPE) or infection control from a variety of sources, many of which are not keen about the idea of dentists levying this charge on their patients. Those weighing in on the idea range from dentists to patients to insurance companies to state ... [continue reading]
Aug 18 2020
The Ohio Dental Association's Medicaid Working Group has acted upon and continues to address a number of matters relative to Ohio's Medicaid dental program. Rebidding Ohio’s Medicaid HMO contracts Early last year Gov. Mike DeWine called on the Ohio Department of Medicaid (ODM) to rebid the state of Ohio’s contracts with the private ... [continue reading]
Jul 13 2020
The COVID-19 pandemic has caused much disruption throughout every facet of society. An impact it has had on dentistry has directly led to increased costs for dentists to provide care while at the same time significantly decreasing dentists' ability to recover those costs via the number of patients they may see in any given period of time. While ... [continue reading]
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