CIB: Aligning Dental Payment Policies and Periodicity Schedules in the Medicaid and CHIP Programs

Today, The Centers for Medicare and Medicaid Services (CMS) released an informational bulletin that discusses the importance of state Medicaid and CHIP programs properly implementing their pediatric dental periodicity schedules in order to ensure children’s access to critical dental coverage.In particular, two dimensions are discussed. First, states should ensure that fee schedules and payment policies are aligned with periodicity schedules. Second, the periodicity schedule should be treated as a “floor” for coverage of dental services, not a “ceiling.”

The informational bulletin can be accessed on Medicaid.gov at https://www.medicaid.gov/Federal-Policy-Guidance/Federal-Policy-Guidance.html