Amended IN Senate April 10, 2018 CALIFORNIA LEGISLATURE 20172018 REGULAR SESSION Senate Bill No. 1148Introduced by Senator PanFebruary 14, 2018 An act to amend Section 14132.22 of add Section 14132.22 to the Welfare and Institutions Code, relating to Medi-Cal. LEGISLATIVE COUNSEL'S DIGESTSB 1148, as amended, Pan. Medi-Cal: restorative dental services.Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law includes emergency and essential diagnostic and restorative dental services, and dental prophylaxis cleanings and dental examinations within the scope of benefits that may be provided to eligible recipients under the Medi-Cal program. Existing law authorizes specified Medi-Cal providers to recommend, after consultation with the beneficiary, and to receive reimbursement for, certain dental restorative materials other than the covered benefit of amalgam.This bill additionally would authorize a provider of services that includes the provision of dental restorative materials to provide for the use of for the treatment of dental caries to provide, and receive reimbursement for, silver diamine fluoride when used as a caries arresting agent after consultation and billed as specified, if the provider first consults with the beneficiary, including beneficiary and obtains written informed consent, and if the treatment is included as part of a comprehensive treatment plan, as specified. plan.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO Bill TextThe people of the State of California do enact as follows:SECTION 1. Section 14132.225 is added to the Welfare and Institutions Code, immediately following Section 14132.22, to read:14132.225. (a) A provider of services for the treatment of dental caries may provide, and receive reimbursement for, silver diamine fluoride when used as a caries arresting agent and when billed pursuant to Code D1354 of the American Dental Associations Current Dental Terminology, effective January 1, 2018, if all of the following conditions are met:(1) There is a consultation with the beneficiary, or his or her designee.(2) The beneficiary, or his or her designee, signs a written informed consent form that is approved by the department.(3) The treatment is part of a comprehensive treatment plan.(b) This section does not preclude the use of silver diamine fluoride for preventative services, when appropriate. SECTION 1.Section 14132.22 of the Welfare and Institutions Code is amended to read:14132.22.(a)For purposes of this section, dental restorative materials are limited to composite resin, glass ionomer cement, resin ionomer cement, and amalgam, as described on the Dental Board of Californias dental materials factsheet.(b)A provider of services that includes the provision of dental restorative materials to a beneficiary under this chapter may recommend, after consultation with the beneficiary, a dental restorative material other than the covered benefit of amalgam.(c)A provider may claim and receive the reimbursement rate for an amalgam restoration when using a different dental restorative material.(d)(1)A provider of services that includes the provision of dental restorative materials to a beneficiary under this chapter may provide for the use of silver diamine fluoride as a caries arresting agent, pursuant to paragraph (2), after consultation with the beneficiary that includes appropriate informed consent required by the department, and as part of a comprehensive treatment plan.(2) The authorization provided by paragraph (1) applies to interim caries arresting medicament application, per tooth, for the conservative treatment of an active, nonsymptomatic carious lesion by topical application of a caries arresting or inhibiting medicament without mechanical removal of sound tooth structure, as described in Code D1354 of the American Dental Associations Current Dental Terminology, effective January 1, 2018.
Amended IN Senate April 10, 2018 CALIFORNIA LEGISLATURE 20172018 REGULAR SESSION Senate Bill No. 1148Introduced by Senator PanFebruary 14, 2018 An act to amend Section 14132.22 of add Section 14132.22 to the Welfare and Institutions Code, relating to Medi-Cal. LEGISLATIVE COUNSEL'S DIGESTSB 1148, as amended, Pan. Medi-Cal: restorative dental services.Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law includes emergency and essential diagnostic and restorative dental services, and dental prophylaxis cleanings and dental examinations within the scope of benefits that may be provided to eligible recipients under the Medi-Cal program. Existing law authorizes specified Medi-Cal providers to recommend, after consultation with the beneficiary, and to receive reimbursement for, certain dental restorative materials other than the covered benefit of amalgam.This bill additionally would authorize a provider of services that includes the provision of dental restorative materials to provide for the use of for the treatment of dental caries to provide, and receive reimbursement for, silver diamine fluoride when used as a caries arresting agent after consultation and billed as specified, if the provider first consults with the beneficiary, including beneficiary and obtains written informed consent, and if the treatment is included as part of a comprehensive treatment plan, as specified. plan.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO
Amended IN Senate April 10, 2018
Amended IN Senate April 10, 2018
CALIFORNIA LEGISLATURE 20172018 REGULAR SESSION
Senate Bill No. 1148
Introduced by Senator PanFebruary 14, 2018
Introduced by Senator Pan
February 14, 2018
An act to amend Section 14132.22 of add Section 14132.22 to the Welfare and Institutions Code, relating to Medi-Cal.
LEGISLATIVE COUNSEL'S DIGEST
## LEGISLATIVE COUNSEL'S DIGEST
SB 1148, as amended, Pan. Medi-Cal: restorative dental services.
Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law includes emergency and essential diagnostic and restorative dental services, and dental prophylaxis cleanings and dental examinations within the scope of benefits that may be provided to eligible recipients under the Medi-Cal program. Existing law authorizes specified Medi-Cal providers to recommend, after consultation with the beneficiary, and to receive reimbursement for, certain dental restorative materials other than the covered benefit of amalgam.This bill additionally would authorize a provider of services that includes the provision of dental restorative materials to provide for the use of for the treatment of dental caries to provide, and receive reimbursement for, silver diamine fluoride when used as a caries arresting agent after consultation and billed as specified, if the provider first consults with the beneficiary, including beneficiary and obtains written informed consent, and if the treatment is included as part of a comprehensive treatment plan, as specified. plan.
Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law includes emergency and essential diagnostic and restorative dental services, and dental prophylaxis cleanings and dental examinations within the scope of benefits that may be provided to eligible recipients under the Medi-Cal program. Existing law authorizes specified Medi-Cal providers to recommend, after consultation with the beneficiary, and to receive reimbursement for, certain dental restorative materials other than the covered benefit of amalgam.
This bill additionally would authorize a provider of services that includes the provision of dental restorative materials to provide for the use of for the treatment of dental caries to provide, and receive reimbursement for, silver diamine fluoride when used as a caries arresting agent after consultation and billed as specified, if the provider first consults with the beneficiary, including beneficiary and obtains written informed consent, and if the treatment is included as part of a comprehensive treatment plan, as specified. plan.
## Digest Key
## Bill Text
The people of the State of California do enact as follows:SECTION 1. Section 14132.225 is added to the Welfare and Institutions Code, immediately following Section 14132.22, to read:14132.225. (a) A provider of services for the treatment of dental caries may provide, and receive reimbursement for, silver diamine fluoride when used as a caries arresting agent and when billed pursuant to Code D1354 of the American Dental Associations Current Dental Terminology, effective January 1, 2018, if all of the following conditions are met:(1) There is a consultation with the beneficiary, or his or her designee.(2) The beneficiary, or his or her designee, signs a written informed consent form that is approved by the department.(3) The treatment is part of a comprehensive treatment plan.(b) This section does not preclude the use of silver diamine fluoride for preventative services, when appropriate. SECTION 1.Section 14132.22 of the Welfare and Institutions Code is amended to read:14132.22.(a)For purposes of this section, dental restorative materials are limited to composite resin, glass ionomer cement, resin ionomer cement, and amalgam, as described on the Dental Board of Californias dental materials factsheet.(b)A provider of services that includes the provision of dental restorative materials to a beneficiary under this chapter may recommend, after consultation with the beneficiary, a dental restorative material other than the covered benefit of amalgam.(c)A provider may claim and receive the reimbursement rate for an amalgam restoration when using a different dental restorative material.(d)(1)A provider of services that includes the provision of dental restorative materials to a beneficiary under this chapter may provide for the use of silver diamine fluoride as a caries arresting agent, pursuant to paragraph (2), after consultation with the beneficiary that includes appropriate informed consent required by the department, and as part of a comprehensive treatment plan.(2) The authorization provided by paragraph (1) applies to interim caries arresting medicament application, per tooth, for the conservative treatment of an active, nonsymptomatic carious lesion by topical application of a caries arresting or inhibiting medicament without mechanical removal of sound tooth structure, as described in Code D1354 of the American Dental Associations Current Dental Terminology, effective January 1, 2018.
The people of the State of California do enact as follows:
## The people of the State of California do enact as follows:
SECTION 1. Section 14132.225 is added to the Welfare and Institutions Code, immediately following Section 14132.22, to read:14132.225. (a) A provider of services for the treatment of dental caries may provide, and receive reimbursement for, silver diamine fluoride when used as a caries arresting agent and when billed pursuant to Code D1354 of the American Dental Associations Current Dental Terminology, effective January 1, 2018, if all of the following conditions are met:(1) There is a consultation with the beneficiary, or his or her designee.(2) The beneficiary, or his or her designee, signs a written informed consent form that is approved by the department.(3) The treatment is part of a comprehensive treatment plan.(b) This section does not preclude the use of silver diamine fluoride for preventative services, when appropriate.
SECTION 1. Section 14132.225 is added to the Welfare and Institutions Code, immediately following Section 14132.22, to read:
### SECTION 1.
14132.225. (a) A provider of services for the treatment of dental caries may provide, and receive reimbursement for, silver diamine fluoride when used as a caries arresting agent and when billed pursuant to Code D1354 of the American Dental Associations Current Dental Terminology, effective January 1, 2018, if all of the following conditions are met:(1) There is a consultation with the beneficiary, or his or her designee.(2) The beneficiary, or his or her designee, signs a written informed consent form that is approved by the department.(3) The treatment is part of a comprehensive treatment plan.(b) This section does not preclude the use of silver diamine fluoride for preventative services, when appropriate.
14132.225. (a) A provider of services for the treatment of dental caries may provide, and receive reimbursement for, silver diamine fluoride when used as a caries arresting agent and when billed pursuant to Code D1354 of the American Dental Associations Current Dental Terminology, effective January 1, 2018, if all of the following conditions are met:(1) There is a consultation with the beneficiary, or his or her designee.(2) The beneficiary, or his or her designee, signs a written informed consent form that is approved by the department.(3) The treatment is part of a comprehensive treatment plan.(b) This section does not preclude the use of silver diamine fluoride for preventative services, when appropriate.
14132.225. (a) A provider of services for the treatment of dental caries may provide, and receive reimbursement for, silver diamine fluoride when used as a caries arresting agent and when billed pursuant to Code D1354 of the American Dental Associations Current Dental Terminology, effective January 1, 2018, if all of the following conditions are met:(1) There is a consultation with the beneficiary, or his or her designee.(2) The beneficiary, or his or her designee, signs a written informed consent form that is approved by the department.(3) The treatment is part of a comprehensive treatment plan.(b) This section does not preclude the use of silver diamine fluoride for preventative services, when appropriate.
14132.225. (a) A provider of services for the treatment of dental caries may provide, and receive reimbursement for, silver diamine fluoride when used as a caries arresting agent and when billed pursuant to Code D1354 of the American Dental Associations Current Dental Terminology, effective January 1, 2018, if all of the following conditions are met:
(1) There is a consultation with the beneficiary, or his or her designee.
(2) The beneficiary, or his or her designee, signs a written informed consent form that is approved by the department.
(3) The treatment is part of a comprehensive treatment plan.
(b) This section does not preclude the use of silver diamine fluoride for preventative services, when appropriate.
(a)For purposes of this section, dental restorative materials are limited to composite resin, glass ionomer cement, resin ionomer cement, and amalgam, as described on the Dental Board of Californias dental materials factsheet.
(b)A provider of services that includes the provision of dental restorative materials to a beneficiary under this chapter may recommend, after consultation with the beneficiary, a dental restorative material other than the covered benefit of amalgam.
(c)A provider may claim and receive the reimbursement rate for an amalgam restoration when using a different dental restorative material.
(d)(1)A provider of services that includes the provision of dental restorative materials to a beneficiary under this chapter may provide for the use of silver diamine fluoride as a caries arresting agent, pursuant to paragraph (2), after consultation with the beneficiary that includes appropriate informed consent required by the department, and as part of a comprehensive treatment plan.
(2) The authorization provided by paragraph (1) applies to interim caries arresting medicament application, per tooth, for the conservative treatment of an active, nonsymptomatic carious lesion by topical application of a caries arresting or inhibiting medicament without mechanical removal of sound tooth structure, as described in Code D1354 of the American Dental Associations Current Dental Terminology, effective January 1, 2018.