For the past two years, ASDA actively has been advocating for an increase in Medicaid dental fees, which have not been adjusted for 15 years. Although earlier efforts fell flat, a new push with the Arkansas Department of Human Services (DHS) points to the possibility of at least bringing the issue to the attention of those who can make the change.
In preparation for the current campaign, ASDA conducted a Medicaid Workforce Survey during the last week of July 2022 in which more than 20 percent of current Medicaid providers participated. The results were astonishing:
- 98% indicated that current Medicaid fees do not adequately reimburse dentists
- 84% indicated they will have to stop accepting Medicaid patients if fees are not increased.
- 80% indicated they would have to stop accepting Medicaid patients in the next 3 years if fees are not increased.
It goes without saying that the Medicaid dental program would be in critical trouble if fees are not increased. Considering the high rate of no-shows among Medicaid patients and the impact on all dental practices regardless of size or business model, its no wonder that more and more dentists are facing the difficult decision to discontinue participation in the program.
Presently, Medicaid reimburses at a rate roughly equal to 95% of the 2007 Delta Dental of Arkansas Premier Schedule. The new ask is that the fees be updated to the 2022 DDAR schedule, in addition to other administrative and procedure additions.
ASDA continues to work toward increases that will keep the Medicaid program valid with an adequate number of dentists. If a Call-to-Action is necessary, staff will reach out. So, stay tuned.
Call ASDA for a copy of the letter to DHS and Governor’s Office.
