The ADA provides technical support to help state dental societies advance their respective policy agendas. This includes addressing legislative and regulatory proposals that would affect the way dental insurance is defined, offered, and administered at the state level.
Third party coverage and payment issues that commonly arise at the state level include, among others:
- Non-Covered Services—Prohibiting dental insurers from interfering when a contract dentist agrees to furnish a non-plan service privately to a patient who knows the service not covered by his or her plan (e.g., capping fees for a non-covered cosmetic procedure, etc.).
- Medically-Associated Dental Care—Requiring medical insurers to cover (and act as the primary payer for) dental treatment associated with a diagnosed medical disease or condition.
- Coordination of Medical/Dental Benefits—Requiring medical and dental insurers to coordinate primary dental and secondary medical benefits (or vice versa) in a way that is seamless for both the patient and treating dentist.
- Joint Disorders—Encouraging medical and dental insurers both to offer coverage for the diagnosis and treatment of temporomandibular (TMD) joint disorders and craniomandibular (CMD) disorders.
The Association's priorities are based on the major policies and positions (PDF) (Members Only) adopted by the ADA House of Delegates.
Related stories from the dental profession's most widely read news source, ADA News.
Dental Society Resources
The ADA Department of State Government Affairs (DSGA) offers resources to help state and local dental societies benefit from the best practices and lessons learned in other states and municipalities.
For additional information or to request assistance, please contact the DSGA at 312.440.2525 or email@example.com.
Prepared by: Division of Government and Public Affairs
Last Updated: March 21, 2017