- CMS: Medicare Program; Implementation of Prior Authorization for Select Services for the Wasteful and Inappropriate Services Reduction (WISeR) Model
- Public Inspection: CMS: Medicare Program: Implementation of Prior Authorization for Select Services for the Wasteful and Inappropriate Services Reduction Model
- CMS: Secretarial Comments on the CBE's (Battelle Memorial Institute) 2024 Activities: Report to Congress and the Secretary of the Department of Health and Human Services
- HHS: Patient Protection and Affordable Care Act: Marketplace Integrity and Affordability
- HRSA Announces Action to Lower Out-of-Pocket Costs for Life-Saving Medications at Health Centers Nationwide
- Public Inspection: HHS: Patient Protection and Affordable Care Act: Marketplace Integrity and Affordability
- Increased Risk of Cyber Threats Against Healthcare and Public Health Sector
- Eight Hospitals Selected for First Cohort of Rural Hospital Stabilization Program
- Announcing the 2030 Census Disclosure Avoidance Research Program
- CMS: Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2026 Rates; Requirements for Quality Programs; and Other Policy Changes; Correction
- CMS: Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2026 Rates; Requirements for Quality Programs; and Other Policy Changes; Correction
- CMS: Medicare and Medicaid Programs; Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly; Correction
- CMS: Medicare and Medicaid Programs; Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly; Correction
- CMS: Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program for Federal Fiscal Year 2026
- CMS: Medicare Program; FY 2026 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements
New Pennsylvania Oral Health Coalition Website Launched
The PA Coalition for Oral Health (PCOH) just launched their upgraded website. The site has a new look, improved navigation features, as well as a brand new “Finding Dental Care” page that connects users with resources for dental care and dental referrals across Pennsylvania. Check it out!
Pennsylvania Fluoride Study Featured in Journal of the American Dental Association
A Pennsylvania-based study will be featured in the upcoming August issue of the Journal of the American Dental Association (JADA). “Cross-sectional study of association between caries and fluoridated water among third-grade students in Pennsylvania,” authored by Pennsylvania Department of Health Oral Health Program epidemiologist Dr. Jun Yang, also features PCOH Executive Director Helen Hawkey as a co-author. The study found that community water fluoridation was significantly associated with a reduced risk of developing caries among Pennsylvania children.
Oral Health and Nicotine/Tobacco Updates Available
The Association of State and Territorial Dental Directors (ASTDD) Dental Public Health Policy Committee announced a new policy statement on preventing tobacco/oral nicotine use to promote oral health. The statement provides information on the impacts to oral and overall health as well as guidance identifying effective strategies in prevention.
Click here to read the statement.
The World Health Organization (WHO) released the first-ever “Clinical Treatment Guidelines for Tobacco Cessation in Adults.” The guidelines include a set of cessation interventions for adults seeking to quit all kinds of tobacco products. These guidelines are designed to help communities and governments provide the best possible support for adults trying to quit tobacco products.
Report Links Cardiovascular Health and Oral Health
The CareQuest Institute for Oral Health published “The Heart of the Matter: Links Between Cardiovascular Health and Oral Health.” This visual report explores the relationship between cardiovascular (heart) disease and periodontal (gum) disease. The authors write that collaboration between dental and medical providers is critical to improving health outcomes.
Dental Publication Focuses on Integration of Behavioral Health and Oral Health
The Journal of the California Dental Association published a special issue focused on the integration of behavioral health and oral health. The issue discuses the bi-directional relationship, a framework for integrating behavioral health and oral health in predoctoral education, and resource to support the integration of behavioral health into dental settings.
New Resource: Using Public Health Hygienists in Health Centers
The Pennsylvania Association of Community Health Centers (PACHC) and the Pennsylvania Office of Rural Health (PORH) created a resource for health centers interesting in adding a public health dental hygiene practitioner (PHDHP) to their team. The resource includes guidance on what PHDHPs are and are not permitted to do and information on employing a PHDHP in federally qualified health centers (FQHCs).
Health Center One Step Closer to Funding for New Dental Clinic
Laurel Health Centers in Mansfield was notified that Sen. John Fetterman has advanced a one-million-dollar Congressional directed spending request to the Appropriations Committee for review on their behalf. If approved, this funding will allow Laurel Health to construct a new full-service dental clinic to provide essential dental services to patients of all ages in northcentral Pennsylvania. Families in rural areas often limit or go without access to regular dental care due to a lack of dental insurance and the high costs associated with routine cleanings and treatment. For the past several years, Laurel Health has been working diligently to bring comprehensive, affordable dental services to more underserved communities and is excited to take the next step in that journey.
National Dental and Fluoridation Associations Respond to New Fluoride Study
The Journal of the American Medical Association (JAMA) recently published a study that examined fluoride exposure during pregnancy. In response to the release of the study, the American Dental Association and American Fluoridation Society released statements and resources affirming support of fluoride for oral health.
Click here to read the American Dental Association statement.
Click here to read the American Fluoridation Society Key Messages.
Pennsylvania Distributes Funding to Dentists Providing Services to Medicaid Patients
As part of the FY 2023-24 state budget, the Pennsylvania state legislature allocated $12 million to be used for the purpose of making one-time payments to dentists enrolled in the Medical Assistance (MA) program based on an enrolled dentist’s utilization from calendar year 2022 billing of 31 dental codes as compared to the total claims billed. Per the legislation, this program is only for dentists that submitted bills for the eligible services using Provider Type 27 (Dentist). That means that care provided by FQHC dentists is not eligible for this funding as FQHCs are enrolled as Provider Type 8 and the FQHC is both billing and rendering provider.
Pennsylvania Announces Medicaid Program Dental Fee Schedule Changes
The Pennsylvania Department of Human Services (DHS) announced updates to the Medical Assistance (MA) Program Fee Schedule based upon the 2024 Healthcare Common Procedure Coding System (HCPCS) updates and based on clinical review. MAB 99-24-03 issued on May 28th can be reviewed in full on the Office of Medical Assistance Program website. See below for dental procedure codes that have been added.
- D2991 – refers to the application of hydroxyapatite
- D0190 – refers to screening of a patient
- D0191 – refers to assessment of a patient