HF 189 (LSB 1914YH (5) 90)

HOUSE FILE 189

BY  BROWN-POWERS

A BILL FOR

An Act relating to dental reimbursement rates under the Medicaid program, and making an appropriation.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:

    Section 1.  DENTAL REIMBURSEMENT RATES —— MEDICAID PROGRAM —— APPROPRIATION.  There is appropriated from the general fund of the state to the department of health and human services for the fiscal year beginning July 1, 2023, and ending June 30, 2024, in addition to any other funds appropriated for the same purpose, the following amount, or so much thereof as is necessary, to be used for the purposes designated:
   ...................................................................... $ 31,500,000

   The funds appropriated in this section shall be used by the department of health and human services to adjust reimbursement rates for providers participating in the dental wellness plan and dental wellness plan kids to provide reimbursement for services at the commercial usual, customary, and reasonable fee rate or at the commercial dental insurance billed charges rate for the service; whichever is higher, in order to maximize dental provider participation in and member access under the dental wellness plan and dental wellness plan kids.
EXPLANATION
The inclusion of this explanation does not constitute agreement with
the explanation’s substance by the members of the general assembly.
   This bill makes an appropriation from the general fund of the state to the department of health and human services (HHS) for FY 2023-2024, in addition to any other funds appropriated for the same purpose, to be used by HHS to adjust reimbursement rates for providers participating in the dental wellness plan and dental wellness plan kids to provide reimbursement for services at the commercial usual, customary, and reasonable fee rate or at the commercial dental insurance billed charges rate for the service, whichever is higher, in order to maximize dental provider participation in and member access under the dental wellness plan and dental wellness plan kids.