Non-Medicaid Providers Can Collect Copays

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From the Summer 2017 Journal of the Colorado Dental Association Non-Medicaid providers may now collect copays for dual covered patients. In the past, there have been two conflicting sections of state law that disagreed on whether a co-pay or deductible associated with a dually covered patient’s primary insurance plan can be collected from Medicaid patients. If a dentist did not …

Comments Requested on Future of Colorado Medicaid Dental Program

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The Colorado Department of Health Care Policy and Financing (HCPF) is looking to assess the continued need, appropriateness, and cost-effectiveness of its rules and determine whether those rules should be continued, modified, or repealed. In regard to the Colorado Medicaid dental program, for both adults and children, dentists who either love or dislike aspects of what’s covered versus not covered …

Medicaid Revises Orthodontic Payment Policy Proposal

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In October 2016, Medicaid (now known as Health First Colorado) announced changes to its payment methodology for orthodontic providers, which was met by many concerns within the orthodontist community. Many major issues came up, including potential rate cuts and lack of coverage for denied cases, which are highlighted in an updated bulletin issued in early April. Fortunately, the CDA was …

Have Dental Practice, Will Travel

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By Dr. Carol Morrow, CDA President-Elect From the Spring 2017 Journal of the Colorado Dental Association When you’re a rural dentist, there is one thing you don’t have to worry about: being busy. While I know this is something that would be coveted in urban areas, it does pose an entirely new set of problems. The biggest one being, how …

Advocating For You: 2017 Legislative Update

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By Jennifer Goodrum, CDA Director of Government Relations From the Spring 2017 Journal of the Colorado Dental Association Colorado’s 2017 legislative session is in full swing and it has been an extremely busy session for dentistry. The CDA represents its members every day at the state Capitol monitoring the nearly 500 bills being considered by the state legislature this year. …

2017 Legislative Preview

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By Jennifer Goodrum, CDA Director of Government Relations From the Winter 2017 Journal of the Colorado Dental Association In 2017, budget issues will continue to be a hot topic for Colorado, as state spending continues to be heavily constrained by TABOR. Federal policy changes, especially those that impact funding for federally financed programs like Medicare, Medicaid, CHP+ and the state …

Medicaid Announces Changes to Orthodontic Billing Policies

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In October, Health First Colorado (formerly known as Colorado Medicaid) hosted an orthodontic stakeholder meeting and announced plans to revise the payment methodology for orthodontic services delivered to Medicaid patients. Currently, Health First Colorado pays the full fee for orthodontic services at the time care is initiated. The program plans to transition to a system of multiple payments and incorporate …

Here’s What You Need to Comply With Section 1557

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A federal rule that implements Section 1557 of the Affordable Care Act (ACA) went into effect July 18. This part of the ACA prohibits discrimination in healthcare on the basis of race, color, national origin, age, disability and sex, including discrimination based on pregnancy, gender identification and sex stereotyping. These prohibitions apply to any healthcare provider receiving certain funds through …

New Health First Colorado Provider Enrollment Specialists Are Here to Help You

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The Aug. 1 deadline for provider revalidation for Colorado’s Medicaid program, Health First Colorado, has passed, but help is available—from provider enrollment specialists—if you have questions about the process. The Health First Colorado Enrollment and Revalidation Information Center now staffs specialists who can help you with anything from general enrollment questions and questions about the status of your application to …