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Delaware General AssemblyDelaware RegulationsMonthly Register of RegulationsNovember 2017

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Delaware Health and Social Services ("Department") / Division of Medicaid and Medical Assistance initiated proceedings to amend Title XIX Medicaid State Plan regarding Delaware Medicaid's Dental Fee Schedule, specifically, to reduce reimbursement rates for dental services. The Department's proceedings to amend its regulations were initiated pursuant to 29 Delaware Code Section 10114 and its authority as prescribed by 31 Delaware Code Section 512.
The Department published its notice of proposed regulation changes pursuant to 29 Delaware Code Section 10115 in the August 2017 Delaware Register of Regulations, requiring written materials and suggestions from the public concerning the proposed regulations to be produced by August 31, 2017 at which time the Department would receive information, factual evidence and public comment to the said proposed changes to the regulations.
42 CFR 447.205, Public notice of changes in Statewide methods and standards for setting payment rates
42 CFR 440.100, Dental Services
42 CFR 447.201, State plan requirements
In accordance with the federal public notice requirements established at Section 1902(a)(13)(A) of the Social Security Act and 42 CFR 447.205 and the state public notice requirements of Title 29, Chapter 101 of the Delaware Code, Delaware Health and Social Services (DHSS)/Division of Medicaid and Medical Assistance (DMMA) gives public notice and provides an open comment period for thirty (30) days to allow all stakeholders an opportunity to provide input on the proposed regulation. Comments were to have been received by 4:30 p.m. on August 31, 2017.
Agency Response: DMMA thanks both councils for their support.
Agency Response: DMMA thanks both councils for their support.
Agency Response: DMMA thanks the council for its support.
Agency Response: DMMA thanks both councils for their comments.
Agency Response: DMMA acknowledges the comment.
Agency Response: While the proposal addresses dental care for children, the agency thanks both councils for the recommendation regarding adult dental.
THEREFORE, IT IS ORDERED, that the proposed regulation to amend Title XIX Medicaid State Plan regarding specifically, to reduce reimbursement rates for dental services is adopted and shall be final effective November 11, 2017.
Dental Services - Effective for dates of service on or after April July 1, 2012 2017, Delaware pays for dental services at the lower of:
The dental fee schedule is available on the Delaware Medicaid Assistance Program (DMAP) Medical Assistance Portal website at: http://www.dmap.state.de.us/downloads.html https://medicaid.dhss.delaware.gov
Last Updated: December 31 1969 19:00:00.
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