Amended IN Assembly June 13, 2018 Amended IN Senate April 10, 2018 CALIFORNIA LEGISLATURE 20172018 REGULAR SESSION Senate Bill No. 1148Introduced by Senator PanFebruary 14, 2018 An act to add Section 14132.22 14132.225 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 for the treatment of dental caries to provide, and receive reimbursement for, silver diamine fluoride when used as a caries arresting agent and billed as specified, if the provider first consults with the beneficiary and obtains written informed consent, and if the treatment is included as part of a comprehensive treatment plan. The bill would include a registered dental hygienist in alternative practice within the definition of a provider of services for the treatment of dental caries. The bill would authorize the department to establish appropriate utilization controls for patients eligible to receive services under the bill.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) (1) 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)(A) There is a consultation with the beneficiary, or his or her designee.(2)(B) The beneficiary, or his or her designee, signs a written informed consent form that is approved by the department.(3)(C) The treatment is part of a comprehensive treatment plan.(2) For purposes of this subdivision, a provider of services for the treatment of dental caries includes a registered dental hygienist in alternative practice.(b) This section does not preclude the use of silver diamine fluoride for preventative preventive services, when appropriate. (c) The department may establish appropriate utilization controls for patients eligible to receive services under this section.
Amended IN Assembly June 13, 2018 Amended IN Senate April 10, 2018 CALIFORNIA LEGISLATURE 20172018 REGULAR SESSION Senate Bill No. 1148Introduced by Senator PanFebruary 14, 2018 An act to add Section 14132.22 14132.225 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 for the treatment of dental caries to provide, and receive reimbursement for, silver diamine fluoride when used as a caries arresting agent and billed as specified, if the provider first consults with the beneficiary and obtains written informed consent, and if the treatment is included as part of a comprehensive treatment plan. The bill would include a registered dental hygienist in alternative practice within the definition of a provider of services for the treatment of dental caries. The bill would authorize the department to establish appropriate utilization controls for patients eligible to receive services under the bill.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO
Amended IN Assembly June 13, 2018 Amended IN Senate April 10, 2018
Amended IN Assembly June 13, 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 add Section 14132.22 14132.225 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 for the treatment of dental caries to provide, and receive reimbursement for, silver diamine fluoride when used as a caries arresting agent and billed as specified, if the provider first consults with the beneficiary and obtains written informed consent, and if the treatment is included as part of a comprehensive treatment plan. The bill would include a registered dental hygienist in alternative practice within the definition of a provider of services for the treatment of dental caries. The bill would authorize the department to establish appropriate utilization controls for patients eligible to receive services under the bill.
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 for the treatment of dental caries to provide, and receive reimbursement for, silver diamine fluoride when used as a caries arresting agent and billed as specified, if the provider first consults with the beneficiary and obtains written informed consent, and if the treatment is included as part of a comprehensive treatment plan. The bill would include a registered dental hygienist in alternative practice within the definition of a provider of services for the treatment of dental caries. The bill would authorize the department to establish appropriate utilization controls for patients eligible to receive services under the bill.
## 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) (1) 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)(A) There is a consultation with the beneficiary, or his or her designee.(2)(B) The beneficiary, or his or her designee, signs a written informed consent form that is approved by the department.(3)(C) The treatment is part of a comprehensive treatment plan.(2) For purposes of this subdivision, a provider of services for the treatment of dental caries includes a registered dental hygienist in alternative practice.(b) This section does not preclude the use of silver diamine fluoride for preventative preventive services, when appropriate. (c) The department may establish appropriate utilization controls for patients eligible to receive services under this section.
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) (1) 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)(A) There is a consultation with the beneficiary, or his or her designee.(2)(B) The beneficiary, or his or her designee, signs a written informed consent form that is approved by the department.(3)(C) The treatment is part of a comprehensive treatment plan.(2) For purposes of this subdivision, a provider of services for the treatment of dental caries includes a registered dental hygienist in alternative practice.(b) This section does not preclude the use of silver diamine fluoride for preventative preventive services, when appropriate. (c) The department may establish appropriate utilization controls for patients eligible to receive services under this section.
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) (1) 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)(A) There is a consultation with the beneficiary, or his or her designee.(2)(B) The beneficiary, or his or her designee, signs a written informed consent form that is approved by the department.(3)(C) The treatment is part of a comprehensive treatment plan.(2) For purposes of this subdivision, a provider of services for the treatment of dental caries includes a registered dental hygienist in alternative practice.(b) This section does not preclude the use of silver diamine fluoride for preventative preventive services, when appropriate. (c) The department may establish appropriate utilization controls for patients eligible to receive services under this section.
14132.225. (a) (1) 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)(A) There is a consultation with the beneficiary, or his or her designee.(2)(B) The beneficiary, or his or her designee, signs a written informed consent form that is approved by the department.(3)(C) The treatment is part of a comprehensive treatment plan.(2) For purposes of this subdivision, a provider of services for the treatment of dental caries includes a registered dental hygienist in alternative practice.(b) This section does not preclude the use of silver diamine fluoride for preventative preventive services, when appropriate. (c) The department may establish appropriate utilization controls for patients eligible to receive services under this section.
14132.225. (a) (1) 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)(A) There is a consultation with the beneficiary, or his or her designee.(2)(B) The beneficiary, or his or her designee, signs a written informed consent form that is approved by the department.(3)(C) The treatment is part of a comprehensive treatment plan.(2) For purposes of this subdivision, a provider of services for the treatment of dental caries includes a registered dental hygienist in alternative practice.(b) This section does not preclude the use of silver diamine fluoride for preventative preventive services, when appropriate. (c) The department may establish appropriate utilization controls for patients eligible to receive services under this section.
14132.225. (a) (1) 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)
(A) There is a consultation with the beneficiary, or his or her designee.
(2)
(B) The beneficiary, or his or her designee, signs a written informed consent form that is approved by the department.
(3)
(C) The treatment is part of a comprehensive treatment plan.
(2) For purposes of this subdivision, a provider of services for the treatment of dental caries includes a registered dental hygienist in alternative practice.
(b) This section does not preclude the use of silver diamine fluoride for preventative preventive services, when appropriate.
(c) The department may establish appropriate utilization controls for patients eligible to receive services under this section.