HB 5661
Increasing Medicaid dental provider reimbursement rates.
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- Passed House of Delegates
- Passed Senate
- To Governor
- Became Law
Bill overview
This bill aims to increase the reimbursement rates paid to dental providers who accept Medicaid in West Virginia. It expands Medicaid coverage to include diagnostic and preventative dental services, as well as restorative services, for adults aged 21 and over, with a limit of $2,000 per two-year budget period. The bill also mandates a 20% increase in dental-related fees by December 1, 2028, and requires the Bureau for Medical Services to analyze Medicaid expenditures related to the dental program.
Key provisions
- Increases Medicaid dental provider reimbursement rates.
- Expands Medicaid coverage to include diagnostic and preventative dental services.
- Expands Medicaid coverage to include restorative dental services.
- Establishes a $2,000 per two-year budget period limit on dental coverage for adults.
- Requires a 20% increase in dental-related fees by December 1, 2028.
- Mandates a report to the Legislative Oversight Commission on Health and Human Resources Accountability and the Joint Committee on Government and Finance.
- Requires the Department of Human Services to implement a dental care system with oversight and quality assurance measures.
- Requires the Department of Human Services to seek authority from the Centers for Medicare and Medicaid Services.
Who is affected
- Medicaid recipients
- Dental providers
- West Virginia residents
- Department of Human Services
- Bureau for Medical Services
Sponsors
Official sponsors from legislative records.
Primary sponsor
J. Cannon
Cosponsors
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