HCS HB 400 -- DENTAL CARVE-OUT ACT (Yates)

COMMITTEE OF ORIGIN:  Insurance Policy

This substitute establishes the Dental Carve-Out Act of 2005 and
requires the Division of Medical Services in the Department of
Social Services to maintain and implement a process for managing
dental benefits for public assistance recipients.  The division
must contract with a single-source, private entity to provide
dental program management services in coordination with the
division.  Entities submitting a bid for the program must be
actuarially sound and provide proof of an adequacy network.  The
Attorney General will have full prosecutorial authority over any
provider or recipient in the program.  The division is allowed to
place coverage limits on dental services and must establish a
statewide uniform dental program administered by a single,
private entity.  The private entity cannot discriminate against
any dentist willing to meet the terms and conditions of the
program.  The division, however, may not require a dentist to
alter a patient's previously authorized course of treatment
unless warranted by the patient's condition.

FISCAL NOTE:  Estimated Cost on General Revenue Fund of $106,363
in FY 2006, FY 2007, and FY 2008.  No impact on Other State Funds
in FY 2006, FY 2007, and FY 2008.

Missouri House of Representatives
93rd General Assembly, 1st Regular Session
Last Updated August 25, 2005 at 1:19 pm