KFF December 1, 2023
Note: This is a revised and expanded version of an analysis that was initially published on December 8, 2022.
Medicare does not offer broad coverage of dental services under traditional Medicare, but through recent regulatory action, the Biden Administration has taken steps to modify Medicare payment policies to expand the types of dental services that are covered. In both the 2023 and 2024 Medicare Physician Fee Schedule Final Rules, the administration made changes to Medicare payment policies for certain dental services, in addition to other payment and policy changes. The 2023 rule clarifies CMS’s interpretation of when medically necessary dental services can be covered and codifies certain payment policies, and both the 2023 and 2024 rules define new clinical scenarios...
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