Transcripts of Public Hearing - Dental Provider Reimbursement Rates

Proposed Changes in Reimbursement Rates and/or 
Methodology for HealthChoice and Department of Corrections Contracts

On October 5, 2012, the Employees Group Insurance Division (EGID) of the Office of Management and Enterprises Services held a public hearing regarding changes in reimbursement rates and/or methodology for dental reimbursement rates in accordance with Oklahoma State Statues, Title 74, Chapter 37, Section 1325 which requires EGID to schedule a hearing 30 days prior to adopting major changes to reimbursement rates or methodologies. The hearing was an open forum where providers had the opportunity to comment on the proposed changes presented by EGID. The Oklahoma Dental Association and dental providers from several urban and rural areas participated in an Advisory Panel prior to public hearing to provide input into EGID’s proposed reimbursement recommendations. The proposed reimbursement methodology is seventy-five percent (75%) of the National Dental Advisory Service median charge for the Oklahoma City except for orthodontia codes. Changes in reimbursement rates and/or methodology for orthodontia codes were not addressed at this time. Written comments received prior to the hearing were acknowledged and summarized for the transcript. The only public comment was regarding orthodontia treatment. EGID will establish a special orthodontia Advisory Panel to review this area. The proposed reimbursement changes will become effective January 1, 2013.

To see a transcript of the hearing, click here.

To see the dental fee schedule effective 1/1/13, click here.

To see the endodontic fee schedule effective 1/1/13, click here.