Durbin Presses Illinois Dental Medicaid Insurers For Answers On Obstacles To Providing Oral Health Care
WASHINGTON – U.S. Senate Majority Whip Dick Durbin (D-IL) today sent oversight letters to three companies – DentaQuest, Envolve, and Avesis – that administer dental benefits for Medicaid managed care companies (MCOs) in Illinois to seek answers on barriers to providing dental care to Medicaid enrollees. Durbin’s letters raise concerns and investigate certain insurance practices that can limit and discourage provider participation in Medicaid, which exacerbate existing reimbursement rate challenges, resulting in an estimate of only 24 percent of Illinois dentists accepting Medicaid. As a result, Medicaid enrollees, including children and people with disabilities, have difficulty accessing adequate dental care—often facing extensive wait lists for necessary treatment. “I write today regarding significant challenges that oral health providers are facing in their engagements with Medicaid managed care organizations (MCOs) in Illinois, which is hampering
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