Non-Covered Services/Capped Fees (HB315) – Prohibits capped fees on non-covered services. The bill outlines that no contract between a health carrier or health benefit plan and a dentist, for the provision of dental services under a dental plan, shall require that the dentist provide dental services to insureds in the dental plan at a fee established by the health carrier or health benefit plan, if such dental services are not covered services under the dental plan. For purposes of this section, the following terms shall mean: (1) “Covered services”, services reimbursable by a health carrier or health benefit plan under an applicable dental plan, subject to such contractual limitations on benefits as may apply, including but not limited to deductibles, waiting periods, or frequency limitations; (2) “Dental plan”, any policy or contract of insurance which provides for coverage of dental services; (3) “Health benefit plan”, the same meaning as such term is defined in section 376.1350.
Adult Medicaid Extractions, Exams and Imaging (HB11) – Funds extractions, exams and imaging needed to complete extractions for single adults who otherwise would qualify for Medicaid.
Carve Out (HB11/SB127) – In prior years, the passage of the Carve Out language was achieved only through appropriations bills, which required annual renewal. With the passage of SB127, DSS authorization to implement these changes was made permanent. This authorizes MO HealthNet to carve out dental benefits from the managed care system if they so choose.
Sealants (SB330) – Allows dentists to delegate to assistants the tasks of placement of pit or fissure sealants and application of topical fluoride to dental assistants under direct supervision.