State Rebids Medicaid Dental and CHP+ Vendor Contracts

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The Colorado Department of Healthcare Policy and Financing (HCPF) is beginning the process of rebidding vendor contracts for the Medicaid dental contract (currently serviced by DentaQuest) and the CHP+ dental contract (currently serviced by Delta Dental). By mid-2019, HCPF plans to use one administrative service organization as the vendor for both Medicaid dental and CHP+ dental. HCPF is requesting input …

It’s a Wrap: 2018 State Legislative Session

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Colorado’s 2018 legislative session began Jan. 10 and ended May 9. It was a unique session filled with contentious conduct investigations, as well as a number of divisive issues. The CDA was fortunate to be able to accomplish many key objectives despite the rancor under the gold dome. Silver Diamine Fluoride (SDF) Application by Dental Hygienists: With the passage of …

Take Our Survey and You Could Win Great Prizes

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The CDA is surveying ALL Colorado dentists (Medicaid and non-Medicaid providers, those who see children and those who don’t) and dental hygienists. The survey results will help the CDA better understand dentists’ experiences with the Take 5/pay-for-performance program to gather data on what influenced them to sign up or not sign up as Medicaid providers when the program was expanded …

Medicaid Provider Rate Review Advisory Committee Seeks Input

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The Medicaid Provider Rate Review Advisory Committee (MPRRAC) assists the Department of Health Care Policy and Financing (HCPF) in the review of provider rates to determine whether rates are sufficient to ensure client access and provider retention. Its next meeting is April 3. This year the dental rate codes will be reviewed. Some of the defined goals of this process …

CDA Shares Stories of Coloradans Helped by Medicaid Dental

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Medicaid dental coverage has played a key role in improving lives and health across the state. It has improved nutrition. It’s helped women have healthier pregnancies. It’s prevented poor medical outcomes. It’s enabled people to find better jobs and businesses to grow.  That’s why the CDA and its dental partners launched in early November the Health First: Dental Is Essential …

Four Fall Focus Areas for CDA Government Relations

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By Jennifer Goodrum, CDA Director of Government Relations From the Fall 2017 Journal of the Colorado Dental Association Even when the state legislature is not in session, the Capitol remains busy with post-2017-session and pre-2018-session work. This fall has been particularly busy to that end with a number of legislative interim committees and rulemaking processes affecting dentists and dental offices.  …

Medicaid Regulatory Efficiency Review

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As highlighted in the August 2017 CDA eNews, the Colorado Department of Health Care Policy and Financing (HCPF) gave stakeholders the opportunity to comment on rules governing both the child and adult Medicaid dental benefits. The CDA submitted comments Aug. 30 on behalf of the Medicaid provider community. The topics addressed in the CDA comments include: Restrictive interpretation of the …

Non-Medicaid Providers May Now Collect Copays for Dual Covered Patients

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In the past, two conflicting sections of state law have disagreed on whether a copay or deductible associated with a dually covered patient’s primary insurance plan could be collected from Medicaid patients. If a dentist did not collect a required private plan copay, he/she could be subject to insurance fraud penalties. If a dentist did collect the required private plan …

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 …