Category: Dental Insurance & Medicaid

One of the more common calls to the Ohio Dental Association involves the proper way to report dental insurance claims when the treating dentist is different from the billing entity or billing dentist. Most of the calls were prompted by a dental practice bringing on an associate for the first time though some involve dentists who are going on ... [continue reading]

A new report from the American Dental Association’s Health Policy Institute shows the dramatic improvement state policymakers have made to the Ohio dental Medicaid program. Ohio’s dental Medicaid reimbursements have gone from near the bottom in the country to near the top as a result of a significant increase in funding starting earlier this ... [continue reading]

It has been estimated that synthetic identity fraud, the creation of new identities with stolen or fabricated data, is the fastest-growing financial crime in the United States. In fact, the U.S. Department of Justice, Bureau of Justice Statistics has reported “in 2021, about 23.9 million U.S. residents age 16 or older (9% of the population) had ... [continue reading]

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]