Rural Health Information Hub Latest News

Pennsylvania Managed Care Operations Memo: Dental Benefit Limit Exception Process Clarification: 

The Pennsylvania Department of Human Services (DHS) Office of Medical Assistance Program (OMAP) released an operations memo on June 25 to clarify the benefit limit exception (BLE) process and to ensure that more comprehensive services are covered for those who need it. They have also included a decision flow chart to help with the process.

Click here to view the memo.

New Report Examines School Dental Services and Medicaid Billing in Pennsylvania

We are pleased to announce the release of a new report, “School Dental Services and Medicaid Billing in Pennsylvania.” This PCOH report examines challenges and opportunities related to children’s access to dental care. The project aimed to assess the scope of dental services currently provided in public schools, identify barriers to implementation and sustainability, support schools in serving as access points for preventive care, and advocate for policy changes that would allow Medicaid reimbursement for services delivered in school settings.

This report was made possible through the generous support of the CareQuest Institute for Oral Health. We would like to acknowledge the contributions of Corinna Culler, RDH, DrPH, a PCOH consultant who served as the lead author.