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ADA, North Dakota long-term care initiatives

Oral health services in nursing facilities

Mechanisms to provide and fund routine and emergency oral health services for nursing facility residents will be explored Sept. 19 at a North Dakota professional development conference for long-term care professionals and in an ADA-sponsored webinar Sept. 20.

Reimbursement for non-covered dental services provided to Medicaid recipients living in long-term care facilities is possible through an “incurred medical expense” regulation little used for oral health services, volunteer members of ADA’s National Elder Care Advisory Committee will tell professional audiences.

Sept. 19 Bismarck, N.D.

The three-day North Dakota Long Term Care Association’s Fall Professional Development conference for nursing facility professionals “will evaluate the resources and services available for facilities to provide a comfortable and safe home for our residents and tenants,” the agenda says. One hour will be devoted to Oral Health Management in Long Term Care.

Dr. Greg Folse, NECAC member, was invited by the North Dakota Oral Health Coalition to discuss IME reimbursement in his presentation, Oral Health Management in Long Term Care, at the North Dakota Long Term Care Association’s Fall Professional Development Conference. The North Dakota Dental Association participates in the North Dakota Oral Health Coalition Task Force, which “identified oral health care for the elderly as an often overlooked segment of the North Dakota population,” said Barbara J. Smith, Ph.D., manager, geriatric and special needs populations, ADA Council on Access, Prevention & Interprofessional Relations. “In particular, those residents in long-term care facilities or assisted living were recognized as having difficulty obtaining oral health care,” said Dr. Smith. Joseph Cichy, North Dakota Dental Association executive director, is the coalition vice chair.

“This session provides ‘How-To-Guide’ to assure good health outcomes and OBRA (Omnibus Budget Reconciliation Act) compliance as well as mechanisms to provide and fund routine and emergency oral health services for nursing facility residents,” says the agenda for the Sept. 18-21 conference.

Sept. 20 Webinar

Webinar:  Learn how to get reimbursed for treating LTC patients

The ADA-sponsored webinar will be presented by volunteer members of ADA’s National Elder Care Advisory Committee. Dr. Paul Glassman, professor of dental practice and director of the Pacific Center for Special Care at the University of the Pacific Arthur A. Dugoni School of Dentistry, will moderate the Thursday, Sept. 20 webinar 1-2 p.m. Eastern time.

The number of older, disabled adults is projected to be 21 million in 2040, said an ADA e-memo to member dentists inviting webinar participation. How will this shift in demographics affect the way you practice in the future? How will we ensure continuity of care for our patients who may need dental treatment in long-term care facilities? Oral care delivery systems that reach people where they live must be reimbursable and cost effective.

There is a mechanism available now that provides a way for dental professionals to be reimbursed for non-covered dental services provided to Medicaid recipients living in long-term care facilities. Incurred Medical Expense (IME) regulations help long-term care residents get the dental treatment they need and help the dental practice get reimbursed for services.

To learn more about IME, join the webinar on Thursday, September 20 from 1-2 p.m. Eastern time. Register online now for the webinar, “Helping Nursing Home Residents Pay for Dental Care through Incurred Medical Expense (IME) Billing.”

The webinar will discuss these questions:

  • How does IME work?
  • Is the IME billing process a “burden” or an “opportunity” for dentists?
  • How long does it typically take for the dentist to ultimately be paid?
  • How can the billing workflow be optimized for the nursing facility and dental staff alike?

Visit ADA.org for more information about Incurred Medical Expenses.