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
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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
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