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TST Triumphs During the first quarter, the Terminology Workgroup (WG) reviewed their underlying High-Level Initiative contained in the NADP Strategic Plan and proposed a replacement for HLI2 with operational plans…

The Washington Health Benefit Exchange (WHBE) Board met last week and discussed the potential pros and cons of adding family dental benefit offerings on their Marketplace

The medical maximum out-of-pocket (MOOP) is indexed annually per the ACA, while the dental MOOP was initiated within HHS regulations and is not tied to a formula and therefore remains stagnant. DDPA has proposed a formula which ties correlates any dental MOOP change to the dental services CPI provided by the Bureau of Labor and Statistics with increases set at increments of $25 per child.

The NAIC Model Law Review Initiative (B) Subgroup met last week to review several Model Acts for compliance with the NAIC’s Procedures for Model Law Development.

NADP, DDPA and DentaQuest will be meeting with Kevin Counihan, the current Director of HHS’s Center for Consumer Information and Insurance Oversight (CCIIO) mid-July.

MonthlyByte     August 2015   State Developments in OK, NY, OR and more… The Government Relations Workgroup (GRW) and Exchange Policy Workgroup (EPW) continue to meet and discuss state…

At first glance, it looks like South Carolina has updated its benchmark designation to include FEDVIP as a supplement for dental. The previous proposed list did not include a supplement, thus referring to dental benefits included in the medical benchmark.

In a comment letter submitted this week, NADP outlined industry concerns related to a proposal from the New York Department of Financial Services (DFS) to establish Cybersecurity requirements for financial services companies, including dental plans and with broad application to third parties, brokers and contractors.

NADP’s Network Adequacy subgroup meets weekly to provide guidance and tackle the ongoing rush of state network adequacy legislation and regulations.

On Jan. 31 NADP filed comments with the Centers for Medicare and Medicaid Services regarding the Medicaid Fiscal Accountability Rule (MFAR).