Category: Dental Insurance & Medicaid

The Ohio Department of Medicaid has responded to the Ohio Dental Association’s formal request for ODM to standardize the administration of state’s Medicaid dental benefit program across the fee-for-service and managed care programs. The ODA’s request was prompted by ongoing concerns many ODA members have expressed with how DentaQuest ... [continue reading]

On July 24, 2024, Gov. Mike DeWine signed Senate Bill 40, which contained language that would eliminate the requirement for dentists to accept a fee schedule for services that the insurance companies do not even cover. This was the result of many years of advocacy from the ODA on the topic. But now that it has passed what does this mean for dental ... [continue reading]

The Ohio Dental Association continues to monitor and address numerous third-party payer issues on the ODA membership’s behalf. One issue of particular note that the ODA monitors involves silent discount arrangements, which are commonly known as “silent PPOs,” “ghost PPOs” or “blind PPOs.” The American Association of Preferred ... [continue reading]

Gov. Mike DeWine signed Senate Bill 40 into law on July 24. This important legislation prohibits dental insurance companies from setting fees for non-covered services and improves professional practice portability by entering into the Dentist and Dental Hygienist Licensure ... [continue reading]

Even though the new version of the American Dental Association’s Current Dental Terminology (CDT) will not take effect until Jan. 1, 2025, Ohio Dental Association member dentists interested in seeing changes made to the CDT should be thinking about submitting their revision suggestions now. The CDT’s purpose is “to achieve uniformity, ... [continue reading]

This afternoon, Governor Mike DeWine signed Senate Bill 40 into law. This important legislation includes two ODA priorities – the Dentist and Dental Hygienist Compact and dental non-covered services reform – both of which will benefit dental patients and dentists across Ohio. Dentist and Dental Hygienist Compact The ODA has a long ... [continue reading]

Receiving a clear, concise explanation of the terms of a provider contract may help you decide if participating with such a plan is best for you and your patients, as well as helping you avoid unpleasant surprises under the contract in the future. The ADA Contract Analysis Service will provide you with information concerning a proposed contract ... [continue reading]

The Ohio Dental Association has called upon the Ohio Department of Medicaid to standardize the administration of the state’s Medicaid dental benefit program across the fee-for-service and managed care programs. The ODA’s move is in response to ongoing concerns many ODA members have expressed with how DentaQuest administers the dental benefit ... [continue reading]

New Ohio dental Medicaid fees went into effect on Jan. 1. The new fees come to an average of a 93% increase over the previous fees, which had not seen any significant increase in over 20 years. “The new reimbursement rates are having a positive effect across the board,” said Dr. Jennifer Kale, chair of the ODA Medicaid Working Group. “Many ... [continue reading]

“You win with people.” – Woody Hayes While Woody Hayes’ famous quote is often associated with football, it is also very applicable to other sports, business and most other endeavors, including the world of dental insurance and third-party payment. It applies to dental insurance when you consider that no matter how accurate, diligent and ... [continue reading]