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Keeping Your Informed: Noteworthy Group Dental Plan Changes Beginning 1-1-20

December 20, 2019

Please verify patient coverage and benefits each time your patient seeks treatment at your office. You can easily check by logging in to your dentist account at DeltaDentalKS.com/Dentist. While we’ve included many of our large group benefit changes on the linked flyer, not all groups with dental plan changes have been listed.

Download Flyer

DDKS Quarterly Reminders - December 2019

December 20, 2019

The Delta Dental of Kansas offices will be closed

December 24 after 12 p.m.; December 25 & 26 - Christmas

December 31 after 12 p.m.; January 1 - New Years

 

Upcoming Events

Stay up to date on events offered by DDKS at DeltaDentalKS.com/Register

 

Dental Office Changes or Updates? Please notify us when:

  • New and/or change of physical or payment address(es)
  • New and/or change of phone number(s)
  • A dentist joining or leaving
  • Closing of an office
  • Tax information changes
  • New and/or changed NPI information
  • Retirement
  • Sale or purchase of practice
  • License status updates

Brighter Appointment Scheduler Update

December 20, 2019

At the end of December 2019, Delta Dental will no longer be partnering with Brighter as our dentist appointment scheduler. At that time, the “schedule an appointment” feature from Brighter on the online dentist search and our mobile app will no longer be available.

According to Brighter, your practice will remain registered on the platform and you can continue to manage patient appointments with other dental insurance carriers that have a relationship with Brighter. All currently scheduled appointments made via Brighter should remain in place.

Please contact us if you have any questions.

2020 Plan Changes for Risk Groups

October 01, 2019

Each year Delta Dental of Kansas (DDKS) reviews potential policy and benefit changes for our members and groups. We would like to inform you of enhancements we will be offering on or after January 1, 2020 (at the group's renewal date). Please note which groups are affected for each enhancement below. If you have any questions, please reach out to your Professional Relations Representative.

Right Start 4 KidsSM (RS4K)

This plan design enhancement removes the cost barriers for dental care for children 12 and under. If the group chooses this enhancement, the program provides children 12 and under 100% coverage, with no deductible, for all services covered under the plan, excluding orthodontics, when a Participating Dentist is seen. If an out-of-network dentist is seen, the underlying contract applies including waiting periods, deductibles and coinsurance levels. Please verify the member's coverage and eligibility date.

Groups affected: Offered to all Risk groups; all Individual policies.

Implementation: On or after January 1, 2020. Please verify member's coverage and eligibility date. Coverage is based on current group or individual contract.

Unlimited Cleanings

If the group chooses this enhancement, members will be allowed unlimited cleanings. Covered codes include D1110, D1120 and D4910 (for D4910, previous surgical/non-surgical history is required). Please verify the member's coverage and eligibility date.

Groups affected: Offered to all Risk groups.

Implementation: On or after January 1, 2020. Please verify member's coverage and eligibility date. Coverage is based on current group contract.

Annual Maximum Increase to $1,500

If the group chooses this enhancement, annual maximums currently below $1,500 will be increased to an Annual Maximum of $1,500. Please note, groups with a buy-up option will not have an Annual Maximum increase on the base plan. Please verify the member's coverage and eligibility date.

Groups affected: Offered to all Risk groups. Groups with a buy-up plan option will not have an Annual Maximum increase on the base plan option.

Implementation: On or after January 1, 2020. Please verify member's coverage and eligibility date. Coverage is based on current group contract.

 

Have additional questions? Click here to contact your Professional Relations Representatives.

Processing Policy Changes Starting 1/1/2020

October 01, 2019
Mandatory Pre-Determination Removal:

Implementation: January 1, 2020

Groups affected: All Risk groups; all Individual policies.

Effective January 1, 2020 for Individual policies and all Risk groups, Pre-Determinations will no longer be mandatory for any code.

Scaling and Root Planing (Code D4341):

Implementation: January 1, 2020

Groups affected: All groups.

Effective January 1, 2020 for all groups, when scaling and root planing (SRP) is performed in 3 or more quadrants on the same day, the claim will be referred to dental consultants for review.

Review Criteria:

  • There must be 4 or more teeth in a quadrant.

  • Exposure of cemental surfaces of the root is necessary for root planing, therefore radiographs must show the crest of the alveolar bone more than 1.5 - 2.0 mm apical to the CEJ.

  • Submit periapical or bitewing radiographs and periodontal chart documenting probing depths, amount of attached gingiva and clinical attachment levels.

Please Note: Panoramic radiograph (D0330) will no longer be accepted for SRP claims documentation and determination. According to the American Academy of Periodontology, panoramic X-rays have limited value in the diagnosis of periodontal disease (Delta Dental Dentist Handbook, Pg. 67).

General Anesthesia and IV Sedation (Codes D9222, D9223, D9239, & D9243):

Implementation: January 1, 2020

Groups affected: All groups.

Effective January 1, 2020 for all groups, if general anesthesia and IV sedation are performed in excess of one hour, the claim will be referred to dental consultants for review.

Review Criteria:

  • Submit anesthesia record showing start/stop times, vitals checked, anesthesia used, etc.

  • Submit chart notes which should include procedure(s) performed and, if necessary, the reason/necessity for additional anesthesia.

Fabrication of Athletic Mouthguard (D9941):

Implementation: January 1, 2020

Groups affected: All Risk groups; all Individual policies

Effective January 1, 2020 for Risk groups and Individual policies, D9941 will be a covered Major service under the group's plan, excluding plans that do not have coverage for Major services. The underlying contract, age limitations and frequency limitations apply.

 

Have additional questions? Click here to contact your Professional Relations Representative.

Delta Dental of Kansas Board of Directors Updates

October 01, 2019
Delta Dental of Kansas Board of Directors has new Chair and Vice Chair

Gary Yager has been named Chair of the Delta Dental of Kansas board of directors.

Dr. Brick Scheer has been named Vice Chair of the Delta Dental of Kansas board of directors.

Dr. Patrick Moriarty to continue to serve on Delta Dental of Kansas Board of Directors

During the 2019 Annual Meeting held on August 10th, Dr. Patrick Moriarty was reelected to the DDKS Board of Directors for another four year term.

Community Benefit Dental Plan through United Way of the Plains

October 01, 2019
What is the Delta Dental Community Benefit Plan?

Delta Dental of Kansas has partnered with United Way to fund dental coverage for those who would otherwise not be able to afford it. Through this partnership, United Way determines if an individual/family is eligible for the dental plan. Once an individual/family is in the plan, they receive coverage at 100% for all services with a $5 deductible, up to a $3,000 annual maximum.

The Delta Dental Community Benefit plan began just in the Wichita, KS area as a pilot program. In summer 2019, the program has expanded state wide.

How do you refer a patient?

You may refer patients to the program by giving them information on how to contact United Way to apply for the dental plan. The individual will need to call 2-1-1 and ask about the Delta Dental Community Benefit Dental Plan. From there, the United Way of the Plains will provide additional details on the plan, determine if they are eligible, and if so, get them set up on the plan.

We will have small handouts available upon request that you can have on hand. These handouts will have information on what that individual would need to do to sign up for the plan. To request these handouts, please contact us here.

DDKS Quarterly Reminders - October 2019

October 01, 2019

The Delta Dental of Kansas offices will be closed

November 28 & 29 - Thanksgiving

December 24 after 12 p.m.; December 25 & 26 - Christmas

December 31 after 12 p.m.; January 1 - New Years

 

Upcoming Events

Understanding Dental Insurance Seminar Opportunities:

11/15/2019 - Wichita, KS (9 a.m. - 12 p.m.)

11/15/2019 - Leawood, KS (9 a.m. - 12 p.m.)

Registration and more information available here.

 

Dental Office Changes or Updates? Please notify us when:

  • New and/or change of physical or payment address(es)
  • New and/or change of phone number(s)
  • A dentist joining or leaving
  • Closing of an office
  • Tax information changes
  • New and/or changed NPI information
  • Retirement
  • Sale or purchase of practice
  • License status updates

Contact Us

For more information on becoming a Delta Dental participating dentist, contact Delta Dental of Kansas’ Professional Relations team at 800-733-5823, email PR@deltadentalks.com, or fill out the form below.

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