Durbin Highlights New Medicare Coverage For Dental Care, Urges CMS To Expand Coverage For State Medicaid Programs
WASHINGTON – U.S. Senate Majority Whip Dick Durbin (D-IL) today sent a letter to Centers for Medicare and Medicaid Services (CMS) Administrator Chiquita Brooks-LaSure urging her to notify states of recent Medicare changes in coverage and billing practices for oral health care services that were outlined in the 2024 Medicare Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System final rule. As states often model their Medicaid coverage and billing practices after Medicare’s, Durbin called on Administrator Brooks-LaSure to inform states of these changes, which could improve treatment and care for Medicaid enrollees as well. Each year, CMS publishes the OPPS and ASC Payment System rule to determine reimbursement rates for the 3,500 hospital-owned outpatient departments and 6,000 ASCs across the United States. As part of the its 2023 OPPS and ASC Payment System final rule, CMS included a new billing code for a dental surgical
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