Pediatric Dental Supplemental Payments

The Division of Medicaid and Health Financing (DMHF) will submit a change to the Medicaid State Plan through SPA 18-0008-UT, Pediatric Dental Fee for Service Supplemental. The purpose of this change is to clarify the methodology used to provide supplemental payments to pediatric dental providers.

This amendment, therefore, sets a payment pool based on total funds rather than state general funds. It also clarifies the State's policy to consider only claims for children who are under 12 years of age. DMHF estimates total annual expenditures to increase by $9,400 as a result of this change.

The SPA is pending approval from the Centers for Medicare & Medicaid Services and the proposed effective date is January 1, 2019. This amendment is pending approval from the Centers for Medicare & Medicaid Services.

A copy of the change may be obtained from Craig Devashrayee (801-538-6641), or by writing the Technical Writing Unit, Utah Department of Health, P.O. Box 143102, Salt Lake City, UT 84114-3102. Comments are welcome at the same address. Copies of the change are also available at local county health department offices.