2023 -- H 5796

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LC001697

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     STATE OF RHODE ISLAND

IN GENERAL ASSEMBLY

JANUARY SESSION, A.D. 2023

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A N   A C T

RELATING TO HUMAN SERVICES -- MEDICAL ASSISTANCE

     Introduced By: Representative Joseph M. McNamara

     Date Introduced: February 22, 2023

     Referred To: House Finance

     It is enacted by the General Assembly as follows:

     SECTION 1. Chapter 40-8 of the General Laws entitled "Medical Assistance" is hereby

amended by adding thereto the following sections:

     40-8-33. Dental care - Coverage - Dental surgical centers.

     The department of human services shall provide for medical assistance under this chapter

for payment of medical assistance for charges incurred, including any and all facility fees,

medications and anesthetics provided in conjunction with dental care that is rendered to a pediatric

or adult recipient:

     (1) In a hospital or ambulatory surgical center; or

     (2) In the office of an oral or maxillofacial surgeon or dentist who has obtained the

necessary and appropriate permit; provided that, the recipient has a dental condition that requires

hospitalization or general anesthesia as determined by the patient's treating provider.

     40-8-34. Operating room costs - Dental care.

     The department of human services shall provide medical assistance under this chapter for

the recognition, adoption and payment of the new coding guidelines (G0330) and associated

average payment rate approved by the Centers for Medicare and Medicaid effective January 21,

2023, for hospital operating room and related costs, including facility fees, for dental procedures.

Provided, further, that appropriate coding and fair payment for these services is crucial for the

continued allocation of hospital operating room resources to treat those with the most complex

cases in need of comprehensive dental care.

     SECTION 2. Chapter 27-20.1 of the General Laws entitled "Nonprofit Dental Service

Corporations" is hereby amended by adding thereto the following sections:

     27-20.1-23. Dental care - Coverage.

     Any nonprofit dental service corporation shall provide for payment of medical assistance

for charges incurred, including any and all facility fees, medications and anesthetics provided in

conjunction with dental care that is rendered to a pediatric or adult recipient:

     (1) In a hospital or ambulatory surgical center; or

     (2) In the office of an oral or maxillofacial surgeon or a dentist who has obtained the

necessary and appropriate permit; provided that, the recipient has a dental condition that requires

hospitalization or general anesthesia as determined by the patient's treating provider.

     27-20.1-24. Operating room costs - Dental care.

     Any nonprofit dental service corporation shall provide for the recognition, adoption and

payment of the new coding guidelines (G0330) and associated average payment rate approved by

the Centers for Medicare and Medicaid effective January 1, 2023, for hospital operating room and

related costs, including facility fees, for dental procedures. Provided, further, that appropriate

coding and fair payment for these services is crucial for the continued allocation of hospital

operating room resources to treat those with the most complex cases in need of comprehensive

dental care.

     SECTION 3. This act shall take effect upon passage.

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EXPLANATION

BY THE LEGISLATIVE COUNCIL

OF

A N   A C T

RELATING TO HUMAN SERVICES -- MEDICAL ASSISTANCE

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     This act would provide that certain dental procedures be covered by Medicaid and dental

insurance.

     This act would take effect upon passage.

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LC001697

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