CMS finalizes rule rescinding Parts C, D enrollment requirements

Source: ADA, By: Jennifer Garvin
05/01/18

The Centers for Medicare and Medicaid Services on April 16 published a final rule revising the Medicare Advantage program (Part C) regulations and Prescription Drug Benefit program (Part D) regulations and to implement certain provisions of the Comprehensive Addiction and Recovery Act.

The final rule rescinds a previously announced rule that would have required dentists who provide dental care and prescriptions for Medicare Advantage patients and Part D beneficiaries to be enrolled in Medicare or to have opted out in order for their services to be covered.

The Medicare Parts C and D requirements have been a top advocacy issue for the Association for more than five years. The agency announced in November 2017 that it proposed changing the rule and rescinding enrollment requirements for Part C and D.

"This is another example of successful advocacy on the part of the ADA," said Dr. Steve Snyder, chair, ADA Council on Dental Benefit Programs. "This has made life simpler for dentists by not having to enroll in or opt out of Medicare to satisfy the Part C and D requirements and we are glad to see CMS recognizes the need to minimize interruptions to patients' access to needed care and medications."

The dental industry has also worked with the ADA on this issue. In 2017, the National Association of Dental Plans and Delta Dental Plans Association sent a joint letter with the ADA to the U.S. Department of Health and Human Services, asking the agency to remove the enrollment requirement for dentists and other health care professionals who participate in Medicare Part C or Medicare Advantage plans. The three organizations explained potential impacts of the requirements to CMS officials in a meeting arranged by the National Association of Dental Plans.