Fierce Healthcare April 2, 2024
States now can add routine adult dental services as an essential health benefit, the Centers for Medicare & Medicaid Services announced in its 2025 Notice of Benefit and Payment Parameters final rule Tuesday.
Beginning Jan. 1, 2027, every state can update its essential health benefit benchmark plans to include cleanings, diagnostic x-rays, fillings and root canals. The benefits are approved through an application process that starts in 2025.
The rule also clarifies how long a consumer must travel to see different types of providers in state marketplaces on the federal platform. A plan’s information must be certified as a qualified health plan. Time and distance standards would be calculated at the county level and applied to lists of provider specialties....
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