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Connecticut pediatric fee schedule reduction postponed until Sept. 1

July 05, 2016 Hartford, Ct. — The Connecticut Department of Social Services announced June 30 that it is reconsidering reducing pediatric dental Medicaid reimbursement rates based on feedback from dentists and other oral health constituents.

The new rates, which were scheduled to go into effect July 1, would decrease dental reimbursement rates by 5.6 percent across the board for services provided by dentists to patients enrolled in the state's HUSKY program.  

"At this time, the pediatric fee schedule reduction has been postponed until Sept. 1, 2016. Your office should continue submitting claims with your usual and customary rates," said the agency on its website.

Connecticut providers with questions were urged to visit or to call 1.888.445.6665 with questions.

The ADA, along with the Connecticut State Dental Association, Connecticut Society of Pediatric Dentistry and American Academy of Pediatric Dentistry, was among the organizations that provided letters of support opposing the cuts.

"We fully understand the decisions that need to be made each year as states examine their budgets and are forced to make tough fiscal decisions," wrote ADA President Carol Gomez Summerhays and Executive Director Kathleen O'Loughlin in their letter to officials in the state's Department of Social Services, Medicaid Policy Unit. "However, we strongly urge you to reconsider the decision to adopt an across-the-board reduction on Medicaid provider reimbursement rates and request that the current level of funding for the HUSKY program be maintained. We believe these types of reductions are shortsighted as untreated dental disease can be expensive to treat, especially when compared to less costly preventive services."

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