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.