Cms Oral Health Update

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Update on CMS Oral Health Initiative and Other Oral Health …

(7 days ago) WebReturn to Search. Update on CMS Oral Health Initiative and Other Oral Health Related Items. Guidance for : This informational bulletin provides an update on the CMS Oral Health Initiative, describes an array of CMS resources available to support states in their efforts to improve the delivery of dental and oral health services in Medicaid and …

https://www.hhs.gov/guidance/document/update-cms-oral-health-initiative-and-other-oral-health-related-items

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New ACA Policy Expands Access To Dental Care. Now, States Need …

(9 days ago) WebThis comes on the heels of recent improvements to oral health coverage in many state Medicaid programs, clarifications in Medicare medical coverage, and robust Congressional discussions on

https://www.healthaffairs.org/content/forefront/new-aca-policy-expands-access-dental-care-now-states-need-act

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Issue Brief 81 August 2023 - Medicare Oral Health Updates

(8 days ago) WebI. MEDICALLY NECESSARY ORAL HEALTH COVERAGE IN MEDICARE The 2024 Medicare Physician Fee Schedule (PFS) proposed rule released recently includes a proposal to clarify reimbursement for dental services necessary to the clinical success of certain cancer treatments. In last year’s PFS final rule, CMS clarified and codified its …

https://medicareadvocacy.org/issue-brief-81-august-2023-medicare-oral-health-updates-other-issues/

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Recent Changes to Medicare Coverage of Dental Services from the …

(3 days ago) WebKFF Headquarters: 185 Berry St., Suite 2000, San Francisco, CA 94107 Phone 650-854-9400 Washington Offices and Barbara Jordan Conference Center: 1330 G Street, NW, Washington, DC 20005 Phone

https://www.kff.org/medicare/issue-brief/recent-changes-to-medicare-coverage-of-dental-services-from-the-2023-and-2024-medicare-physician-fee-schedule-final-rules/

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Medicare Dental Coverage CMS

(4 days ago) WebThis content is for health care providers. What Medicare Covers Inpatient Hospital Dental Services. Under Section 1862(a)(12) of the Social Security Act and 42 CFR 411.15(i), Medicare doesn’t pay for (also called "payment exclusion") items and services in connection with the care, treatment, filling, removal, or replacement of teeth or structures …

https://www.cms.gov/medicare/coverage/dental

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CMS Roundup (May. 19, 2023) CMS - Centers for Medicare

(5 days ago) WebCMS Continues to Provide Timely Updates to Providers, Partners, and the Public Related to the End of the COVID-19 Public Health Emergency (PHE) CMS will implement policy changes and consider opportunities through existing authorities to expand access to oral health coverage. CMS is also advancing Health Equity and released a …

https://www.cms.gov/newsroom/cms-round-up/cms-roundup-may-19-2023

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Medicare Oral Health Care Update - Center for Medicare Advocacy

(2 days ago) WebMedicare Oral Health Care Update. February 6, 2020. Addressing the problem of Medicare’s lack of meaningful oral health coverage has long been a focus of the Center for Medicare Advocacy. Over the decades, the Center has assisted beneficiaries who require access to medically necessary oral health care, challenged Medicare’s …

https://medicareadvocacy.org/medicare-oral-health-care-update/

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CMS Releases Update on Oral Health Initiative

(7 days ago) WebNews. On June 25, CMS released an update on their Oral Health Initiative, which sets goals. for children’s preventive dental utilization in Medicaid as well as. highlighting “promising state practices” for oral health. Included in. the examples of state innovations were: Pennsylvania’s. changes to Medicaid managed care contracting

https://www.nadp.org/cms-releases-update-on-oral-health-initiative/

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Oral Health Benefits in Medicare and Medicaid

(9 days ago) WebIt is important the American Association of Oral and Maxillofacial Surgeons (AAOMS) continues to advocate for access to oral healthcare – especially for pediatric, special needs and senior patients. With the recent political changes that have occurred in Washington, DC, and increased calls to have dental benefits added to Medicare, the …

https://www.joms.org/article/S0278-2391(21)01105-8/fulltext

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ADA urges CMS to prioritize oral health issues

(9 days ago) WebWashington — The ADA is asking the Centers for Medicare & Medicaid Services to prioritize several oral health issues.. In a June 9 letter to the new CMS administrator, Chiquita Brooks-LaSure, ADA President Daniel J. Klemmedson, D.D.S., M.D., and Executive Director Kathleen T. O'Loughlin, D.M.D., said that under her leadership, …

https://adanews.ada.org/ada-news/2021/june/ada-urges-cms-to-prioritize-oral-health-issues

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CMCS Informational Bulletin - Medicaid.gov

(2 days ago) WebThe Oral Evaluation, Dental Services and Topical Fluoride for Children measures will replace the PDENT-CH measure. The recommended changes to the oral health domain, along with the existing Child Core Set measure of dental sealants [Sealant Receipt on First Permanent Molar . 8 Measure Steward: Centers for Disease Control and Prevention (CDC)

https://www.medicaid.gov/federal-policy-guidance/downloads/cib121021.pdf

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Oral Health Advocacy Update - Center for Medicare Advocacy

(7 days ago) WebJuly 7, 2022. The Center for Medicare Advocacy continues our years-long efforts for medically necessary oral health care to be covered by Medicare, as authorized under current law. Along with a coalition of beneficiary advocates, disease organizations, industry groups, oral health and medical health professionals the Center has been gathering

https://medicareadvocacy.org/oral-health-advocacy-update/

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CMCS Informational Bulletin DATE: FROM: SUBJECT: Update …

(4 days ago) WebThis informational bulletin provides an update on the CMS Oral Health Initiative, describes an States Meeting or Exceeding First Year CMS Oral Health Initiative Goal . Percentage of Medicaid-enrolled children, age 1-20, who received a preventive dental service . Source: FFY 2011 - FFY 2012 CMS 416 reports, lines 1b, 12b.

https://www.hhs.gov/guidance/sites/default/files/hhs-guidance-documents/CIB-07-10-2014_222.pdf

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Highlights from the Advancing Oral Health Prevention in …

(Just Now) WebJanuary 2024. Highlights from the Advancing Oral Health Prevention in Primary Care Affinity Group. Background. Dental caries (tooth decay) is the most common chronic disease in the United States. Fluoride treatments, including fluoride varnish (FV), can prevent and reverse the early stages of dental caries (Box 1). 1.

https://www.medicaid.gov/medicaid/quality-of-care/downloads/oral-health-highlights-brief-jan2024.pdf

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DATE: June 25, 2020 - Medicaid.gov

(2 days ago) WebThe Centers for Medicare & Medicaid Services (CMS) launched the Oral Health Initiative (OHI) in 2010 and set national and state-specific goals to improve Medicaid-enrolled children’s use of preventive dental care. While the proportion of Medicaid-enrolled children receiving a preventive dental service has risen from 42 percent in federal

https://www.medicaid.gov/federal-policy-guidance/downloads/cib062520.pdf

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Oral Health Data Division of Oral Health CDC

(5 days ago) WebSource: Division of Oral Health, National Center for Chronic Disease Prevention and Health Promotion. The Oral Health Data website contains data for indicators from the National Oral Health Surveillance System and from biennial Water Fluoridation Reports. State-level data are provided for all indicators.

https://www.cdc.gov/oralhealthdata/index.html

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CMS Unveils FY25 IPPS Proposal and GME Updates AACOM

(7 days ago) WebCMS Unveils FY25 IPPS Proposal and GME Updates. On April 10, 2024, the Centers for Medicare & Medicaid Services (CMS) unveiled its fiscal year (FY) 2025 Inpatient Prospective Payment System (IPPS) proposed rule. Comments are due June 10, 2024. For graduate medical education (GME), CMS is proposing a distribution …

https://www.aacom.org/news-reports/news/2024/05/14/cms-unveils-fy25-ipps-proposal-and-gme-updates

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Budget 2024–25 - Department of Health and Aged Care

(2 days ago) WebBudget 2024–25: A fit and healthy Australia. 14 May 2024. Fact sheet. We aim to provide documents in an accessible format. If you're having problems using a document with your accessibility tools, please contact us for help. Publication date: 14 May 2024. Publication type: Collection.

https://www.health.gov.au/resources/collections/budget-2024-25

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Dental/Oral Health - Center for Medicare Advocacy

(4 days ago) WebThe Medicare statute excludes payment for services “in connection with the care, treatment, filling, removal, or replacement of teeth or structures directly supporting teeth…”. Section 1862 (a) (12) of the Social Security Act [42 U.S.C. § 1395y (a) (12)]. The provision bars payment when the primary purpose of the dental work is to

https://medicareadvocacy.org/medicare-info/dental-coverage-under-medicare/

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Oral Health Quality Improvement Resources Medicaid

(4 days ago) WebThe Centers for Medicare & Medicaid Services (CMS) offers quality improvement (QI) technical assistance to help states improve oral health among children enrolled in Medicaid and CHIP and connect them to ongoing dental care. From 2020-2023, a CMS learning collaborative focused on advancing oral health prevention in primary care.

https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement-initiatives/oral-health-quality-improvement-resources/index.html

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California's Medicaid experiment, CalAIM, leans on nonprofits to …

(1 days ago) WebThe state covers basic services for vulnerable residents, including things like air purifiers for kids with asthma. But nonprofits offering the services struggle to work within the health care system.

https://www.npr.org/sections/health-shots/2024/05/14/1251004146/california-medicaid-experiment-calaim-medi-cal-nonprofits

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CMS extends unwinding flexibilities for states through June 2025

(5 days ago) WebThe Centers for Medicare & Medicaid Services May 9 announced an extension of unwinding flexibilities to support state efforts to protect the continuity of coverage in Medicaid and the Children's Health Insurance Program. States can continue to use certain waiver authorities to streamline eligibility redeterminations until June 30, …

https://www.aha.org/news/headline/2024-05-10-cms-extends-unwinding-flexibilities-states-through-june-2025

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Australian government investigating 'large-scale ransomware' data

(1 days ago) WebThe ABC can confirm e-script provider MediSecure is the health organisation at the centre of the large-scale ransomware data breach announced by the national cyber security coordinator on Thursday.

https://www.abc.net.au/news/2024-05-16/health-organisation-part-of-large-scale-ransomware-data-breach/103856582

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Quarterly Physician Drug Codes Update: QTR 2 Department of …

(4 days ago) WebIn alignment with the Centers for Medicare & Medicaid Services’ (CMS) quarterly rate update, the Department has retroactively updated the Physician Drug Rates Effective April 1, 2024. These new rates were implemented for billing on May 15, 2024. The updated rates can be found on the Rate Setting page of the Health PAS Online Portal.

https://www.maine.gov/dhhs/oms/providers/provider-bulletins/quarterly-physician-drug-codes-update-qtr-2-2024-05-17

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HHS Secretary Xavier Becerra Issues Statement on New Data …

(Just Now) WebToday, U.S. Health and Human Services Secretary Xavier Becerra released the following statement after the Centers for Disease Control and Prevention (CDC) released new data showing the uninsurance rate holding steady at 7.7 percent: “Under President Biden’s leadership more people have health coverage than under any …

https://www.hhs.gov/about/news/2024/05/17/hhs-secretary-xavier-becerra-issues-statement-new-data-showing-continued-low-uninsurance-rate.html

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Federal Task Force Releases National Strategy to Improve Maternal

(Just Now) WebThis week the Task Force on Maternal Mental Health released a national strategy to improve maternal health care and an accompanying report to Congress.The federal interagency task force was created under the Consolidated Appropriations Act, 2023 for purposes of identifying, evaluating, and making recommendations to coordinate and …

https://ccf.georgetown.edu/2024/05/17/federal-task-force-releases-national-strategy-to-improve-maternal-mental-health-care-includes-medicaid-policies/

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State Spotlights in Advancing Oral Health Prevention in …

(7 days ago) WebFor today's agenda, we will begin with welcoming remarks from CMS, hear about the Advancing Oral Health Prevention in Primary Care Affinity Group, and then turn to our featured speakers from Connecticut, Louisiana, and South Dakota. We will leave a few minutes for Q&A and then provide updates on upcoming CMS quality improvement …

https://www.medicaid.gov/medicaid/quality-of-care/downloads/state-spotlights-advancing-oh-webinar-trans.pdf

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The Barriers to Oral Health Care Illustration CMS

(5 days ago) WebThe Barriers to Oral Health Care IllustrationHuman-Centered Design (HCD) is the process CMS uses to understand the people for which we are writing policies and creating programs and services. At the center of CMS’ HCD process is participatory design, where we work directly with clinicians, patients, third-party vendors, federal partners, and …

https://www.cms.gov/priorities/key-initiatives/burden-reduction/about-cms-office-burden-reduction-health-informatics/barriers-oral-health-care-illustration

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CMS Roundup (Mar. 24, 2023) CMS - Centers for Medicare

(5 days ago) WebCMS Round UpCMS Roundup (Mar. 24, 2023) Today, the Centers for Medicare & Medicaid Services (CMS) is providing an at-a-glance summary of news from around the agency: “First, Do No Harm”: CMS Shares How it is Pursuing its Zero-Harm Goal to Keep Patients Safe. March 16: CMS is pursuing a zero-harm goal to keep patients …

https://www.cms.gov/newsroom/cms-round-up/cms-roundup-mar-24-2023

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A Closer Look at Transparency in the Medicaid Managed Care Rule

(2 days ago) WebThe Medicaid Managed Care Rule published on May 10 has lots of moving parts. As my colleague Leo Cuello explains, the rule includes provisions to increase the transparency of state directed payments (SDPs).The rule also contains a number of other transparency requirements that are the focus of this blog, most of which are identical to …

https://ccf.georgetown.edu/2024/05/17/a-closer-look-at-transparency-in-the-medicaid-managed-care-rule/

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State Spotlights in Advancing Oral Health Prevention in …

(7 days ago) WebState Spotlights in Advancing Oral Health Prevention in Primary Care. Natalia Chalmers DDS, MHSc, PhD, CMS. Andrew Snyder, CMCS. Stephanie Reyna, Mathematica. Kate Parker-Reilly, Connecticut Dental Health Partnership. Amanda Dumas, Louisiana Department of Health. Cori Jacobson, Delta Dental of South Dakota …

https://www.medicaid.gov/medicaid/quality-of-care/downloads/state-spotlights-advancing-oh-webinar-slide.pdf

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Aetna, Humana expect Medicare Advantage membership losses in …

(4 days ago) WebUnitedHealthcare, the largest Medicare Advantage carrier with 7.8 million members, expects to grow at the same rate in 2025 as it did this year, UnitedHealth Group CEO Andrew Witty said.

https://www.modernhealthcare.com/insurance/aetna-humana-expect-medicare-advantage-membership-losses-2025

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