Bill Text: IA HF2511 | 2023-2024 | 90th General Assembly | Introduced
Bill Title: A bill for an act relating to reimbursement for dental services under the Medicaid program.
Spectrum: Partisan Bill (Democrat 3-0)
Status: (Introduced - Dead) 2024-02-14 - Introduced, referred to Health and Human Services. H.J. 265. [HF2511 Detail]
Download: Iowa-2023-HF2511-Introduced.html
House
File
2511
-
Introduced
HOUSE
FILE
2511
BY
ISENHART
,
FORBES
,
and
WILSON
A
BILL
FOR
An
Act
relating
to
reimbursement
for
dental
services
under
the
1
Medicaid
program.
2
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
3
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2511
Section
1.
MEDICAID
REIMBURSEMENT
RATES
FOR
DENTAL
1
SERVICES.
The
department
of
health
and
human
services
shall
2
establish
reimbursement
rates
for
dental
services
provided
3
under
the
Medicaid
program
as
follows:
4
1.
For
adult
Medicaid
recipients
through
the
Medicaid
5
dental
wellness
plan,
reimbursement
rates
shall
be
equal
to
6
the
current
mean
or
median,
whichever
is
greater,
of
the
rates
7
paid
for
the
same
services
in
Minnesota,
Wisconsin,
Illinois,
8
Missouri,
Nebraska,
and
South
Dakota,
as
calculated
by
the
9
department
of
health
and
human
services
in
consultation
with
10
the
dental
board,
and
adjusted
annually
to
comply
with
the
11
methodology
prescribed
under
this
subsection.
12
2.
For
Medicaid
recipients
who
are
children
under
the
13
Medicaid
dental
wellness
plan
kids,
reimbursement
rates
shall
14
be
equal
to
the
greater
of
the
following:
15
a.
The
current
mean
or
median,
whichever
is
greater,
of
16
the
rates
paid
for
the
same
services
in
Minnesota,
Wisconsin,
17
Illinois,
Missouri,
Nebraska,
and
South
Dakota,
as
calculated
18
by
the
department
of
health
and
human
services
in
consultation
19
with
the
dental
board,
and
adjusted
annually
to
comply
with
the
20
methodology
prescribed
under
this
paragraph.
21
b.
The
reimbursement
rates
for
the
same
services
under
the
22
healthy
and
well
kids
in
Iowa
(Hawki)
program
under
chapter
23
514I.
24
EXPLANATION
25
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
26
the
explanation’s
substance
by
the
members
of
the
general
assembly.
27
This
bill
requires
the
department
of
health
and
human
28
services
(HHS)
to
establish
reimbursement
rates
for
dental
29
services
provided
under
the
Medicaid
program
based
on
certain
30
criteria.
31
For
adult
Medicaid
recipients
through
the
Medicaid
dental
32
wellness
plan,
reimbursement
rates
shall
be
equal
to
the
33
current
mean
or
median,
whichever
is
greater,
of
the
rates
34
paid
for
the
same
services
in
Minnesota,
Wisconsin,
Illinois,
35
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Missouri,
Nebraska,
and
South
Dakota,
as
calculated
by
HHS
in
1
consultation
with
the
dental
board,
and
adjusted
annually
to
2
comply
with
the
methodology
prescribed
in
the
bill.
3
For
Medicaid
recipients
who
are
children
under
the
Medicaid
4
dental
wellness
plan
kids,
reimbursement
rates
shall
be
equal
5
to
the
greater
of
the
current
mean
or
median,
whichever
is
6
greater,
of
the
rates
paid
for
the
same
services
in
Minnesota,
7
Wisconsin,
Illinois,
Missouri,
Nebraska,
and
South
Dakota,
as
8
calculated
by
the
department
of
health
and
human
services
in
9
consultation
with
the
dental
board,
and
adjusted
annually
to
10
comply
with
the
methodology
prescribed
under
the
bill;
or
the
11
reimbursement
rates
for
the
same
services
under
the
healthy
and
12
well
kids
in
Iowa
(Hawki)
program
under
Code
chapter
514I.
13
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