On Nov. 25, 2013, the AAPD and the ADA filed comments with CMS concerning their proposed rule on Basic Health Programs (BHPs). Such programs are an option for states beginning on Jan. 1, 2015, to cover individuals who do not qualify for Medicaid but whose income does not exceed 200 percent of the federal poverty level. BHPs are required to offer the essential health benefits package under the ACA, including a pediatric dental benefit. The ADA and AAPD urged that BHPs address challenges that currently exist in Medicaid and CHIP dental programs: network adequacy and low reimbursement levels. Recommendations were made concerning appropriate state contracting, quality measures, and cost sharing. For a copy of the letter click here
For further information, please contact AAPD Chief Operating Officer and General Counsel C. Scott Litch at firstname.lastname@example.org.