- CMS: Medicare and Medicaid Programs: CY 2026 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program
- Public Inspection: CMS: Medicare and Medicaid Programs: CY 2026 Payment Policies under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program
- 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
- Public Inspection: HHS: Patient Protection and Affordable Care Act: Marketplace Integrity and Affordability
- Increased Risk of Cyber Threats Against Healthcare and Public Health Sector
- HRSA Announces Action to Lower Out-of-Pocket Costs for Life-Saving Medications at Health Centers Nationwide
- Announcing the 2030 Census Disclosure Avoidance Research Program
- Eight Hospitals Selected for First Cohort of Rural Hospital Stabilization 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
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
New Economic Analysis for Dentistry Released
A new analysis from the American Dental Association Health Policy Institute shows the economic impact of dentistry in all 50 states. In Pennsylvania, the annual economic impact generated by dental offices is $16.4 billion and the average annual economic impact per dentist is $2.3 million. The full data available in Excel format includes impact measures such as direct and indirect spending, economic impact per dentist and the number of jobs within dental practices as well as jobs supported by dental offices.
Click here for the Pennsylvania infographic.
Click here for the full analysis.
New World Economic Forum White Paper Released
The World Economic Forum released a white paper, “The Economic Rationale for a Global Commitment to Invest in Oral Health.” This paper was created in collaboration with the American Dental Association, Colgate-Palmolive Company, and Henry Schein. This white paper is the first in a planned series that explores the role of various sectors in improving oral health. The intention of the authors is to inspire international health leaders, policy-makers, and private sector partners to reconnect the mouth to the body in pursuit of a healthier future for all.
Volunteer Opportunities Open for 2024 Pop-Up Dental Clinics in Pennsylvania
Looking to volunteer at a dental event in 2024? The PA Coalition for Oral Health compiled a list of pop-up clinics happening across the state. Click on the locations/dates for more information on each clinic. Looking to make a difference year-round? Free clinics rely on volunteers to provide quality, accessible healthcare in their communities. The Free Clinic Association of Pennsylvania can connect you with clinics in your region.
Click here for more info on volunteering with free clinics that see patients year-round.
Remote Area Medical (RAM) Clinics
Sharon, PA – June 8 & 9
Scranton, PA – August 3 & 4
Philadelphia, PA – August 24 & 25
Erie, PA – September 7 & 8
Allentown, PA – October 19 & 20
MOM-n-PA
Reading, PA – June 21 & 22
Mission of Mercy Pittsburgh
Pittsburgh, PA – November 1 & 2
New School Lunch Nutrition Standards Announced
The U.S. Department of Agriculture announced new nutrition standards that limit added sugars and sodium in children’s school meals. The change will gradually phase in added sugar limits for the school lunch and breakfast program and update total sugar limits for breakfast cereals and yogurt. Program operators are not required to make any changes to their menus as a result of this rulemaking until school year 2025-26 at the earliest. As diet directly affects oral health, limiting added sugars can improve the oral health of children and youth.
2023 PA Oral Health Summit Video Now Available!
We hope you will check out our video recap of the 2023 PA Oral Health Summit, whether you were able to attend or not. The video is now available on our YouTube channel and can be shared with others!
Click here to see the video.
Doctors Take on Dental Duties to Reach Low-income and Uninsured Patients
From CBS News
Pediatrician Patricia Braun and her team saw roughly 100 children at a community health clinic on a recent Monday. They gave flu shots and treatments for illnesses like ear infections. But Braun also did something most primary care doctors don’t. She peered inside mouths searching for cavities or she brushed fluoride varnish on their teeth.
“We’re seeing more oral disease than the general population. There is a bigger need,” Braun said of the patients she treats at Bernard F. Gipson Eastside Family Health Center, which is part of Denver Health, the largest safety-net hospital in Colorado, serving low-income, uninsured, and underinsured residents.
Braun is part of a trend across the United States to integrate oral health into medical checkups for children, pregnant women, and others who cannot afford or do not have easy access to dentists. With federal and private funding, these programs have expanded in the past 10 years, but they face socioeconomic barriers, workforce shortages, and the challenge of dealing with the needs of new immigrants.
With a five-year, $6 million federal grant, Braun and her colleagues have helped train 250 primary care providers in oral health in Colorado, Montana, Wyoming, and Arizona. Similar projects are wrapping up in Illinois, Michigan, Virginia, and New York, funded by the federal Health Resources and Services Administration’s Maternal and Child Health Bureau. Beyond assessment, education, and preventive care, primary care providers refer patients to on- or off-site dentists, or work with embedded dental hygienists as part of their practice.
Read more.