Bill Text: IA SF166 | 2021-2022 | 89th General Assembly | Introduced


Bill Title: A bill for an act relating to dental provider reimbursement under the dental wellness plan.

Spectrum: Partisan Bill (Democrat 9-0)

Status: (Introduced) 2021-02-01 - Subcommittee: Schultz, Chapman, and Mathis. S.J. 207. [SF166 Detail]

Download: Iowa-2021-SF166-Introduced.html
Senate File 166 - Introduced SENATE FILE 166 BY JOCHUM , RAGAN , KINNEY , J. SMITH , CELSI , GIDDENS , MATHIS , TRONE GARRIOTT , and BOULTON A BILL FOR An Act relating to dental provider reimbursement under the 1 dental wellness plan. 2 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 3 TLSB 1055XS (4) 89 pf/rh
S.F. 166 Section 1. DENTAL WELLNESS PLAN —— PROVIDER REIMBURSEMENT. 1 A provider participating in the dental wellness plan shall 2 be reimbursed for services at the percentage of the usual, 3 customary, and reasonable fee or at the percentage of the 4 commercial dental insurance billed charges, whichever is 5 higher, to align dental provider reimbursement rates under 6 the dental wellness plan with reimbursement rates under 7 the healthy and well kids in Iowa (hawk-i) program pursuant 8 to chapter 514I, in order to maximize dental provider 9 participation in and member access under the dental wellness 10 plan. 11 EXPLANATION 12 The inclusion of this explanation does not constitute agreement with 13 the explanation’s substance by the members of the general assembly. 14 This bill requires that a provider participating in the 15 dental wellness plan shall be reimbursed for services at 16 the percentage of the usual, customary, and reasonable fee 17 or at the percentage of the commercial dental insurance 18 billed charges, whichever is higher, to align dental provider 19 reimbursement rates under the dental wellness plan with those 20 under the healthy and well kids in Iowa (hawk-i) program, in 21 order to maximize dental provider participation in and member 22 access under the dental wellness plan. 23 -1- LSB 1055XS (4) 89 pf/rh 1/ 1
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