Financing

The pandemic has had immediate economic impacts (eg, widespread unemployment, including many dental providers) that will impact dental coverage and affordability for millions of Americans. The following resources help to:

  • Understand the immediate impact of COVID-19 on the public and private enrollment in dental plans
  • Track evidence of COVID-19’s impact on the financing system of dental care in the short term
  • Summarize changes to adult Medicaid coverage that are to be expected as state budget cuts begin to roll out

(09/22/20) HHS Announces Provider Relief Fund Reporting Requirements
ADA News highlights reporting requirements including submitting all health care-related expenses attributed to COVID-19, applying a negative change in provider’s net patient care operating income on payments not fully expended on health-care related expenses, and explaining the importance of maintaining appropriate records for the US Department of Health and Human Services (HHS) auditing purposes.

(09/22/20) COVID-19 Economic Impact on Dental Practices
ADA’s Health Policy Institute (HPI) provides results to a bi-weekly survey sent to dental providers to provide insight on the economic impact of COVID-19 on dental practices. Additionally, ADA HPI modeling predicts dental care spending to decline up to 38% in 2020 and 20% in 2021.

(08/29/2020) Modeling the Impact of COVID-19 on Dental Insurance Coverage and Utilization
This report published in the Journal of Dental Research describes the impact of COVID-19 on dental insurance coverage and utilization. The publication discusses how the rapid rise in unemployment related to the pandemic will cause loss of employer-sponsored dental insurance, resulting in approximately 47% of those individuals becoming uninsured, while approximately 45% are likely to enroll in their state’s Medicaid and Children’s Health Insurance Programs.

(08/06/20) Pallone Announces Investigation Into Health and Dental Insurance Companies’ Business Practices Amid Covid-19 Pandemic
The House Committee on Energy and Commerce begins investigation into health and dental insurance companies based upon reports that many of the companies are documenting record profit margins during the COVID-19 pandemic. The Energy and Commerce Committee will send oversight letters to insurance companies to commence investigations.

(07/31/20) HHS Extends Application Deadline for Medicaid Providers and Plans to Reopen Portal to Certain Medicare Providers
A news release by the US Department of Health & Human Services extending the application deadline for Medicaid providers to Friday, 08/28/2020 and describing plans to reopen the portal to certain Medicare providers.

(07/29/2020) HR7819 – Eliminating the Provider Relief Fund Tax Penalties Act of 2020
The 116th Congress introduces HR 7819 Eliminating the Provider Relief Fund Tax Penalties Act of 2020 which highlights the economic difficulties that dental practices are experiencing amidst COVID-19 pandemic. Enacting this bill will make pandemic-related expenses attributed to the Provider Relief Funds tax deductible.

(07/29/20) Frequently Asked Questions: HHS Provider Relief Fund
ADA provides answers to frequently asked questions regarding the Department of Health and Human Services’ (HHS) Provider Relief Fund. Topics covered include eligibility, reimbursement criteria, deadlines, balance billing (surprise billing), reporting requirements, and the Provider Relief Fund public list. Additional resources are included to assist with the application process.

(06/15/2020) HR7216 – Small Business PPE Tax Credit Act
The 116th Congress introduces bill H.R. 7216 which introduces a tax credit for small businesses to offset the cost of attaining personal protective equipment (PPE) amidst the pandemic. Qualified PPE includes all equipment that would reduce the risk of transmission of coronavirus, including items like N95 masks, gloves and cleaning supplies.

(04/26/20) CARES Act Signed Into Law, Will Provide Targeted Relief for Dentists, Dental Teams
The California Dental Association (CDA) informs their members about the third legislative relief package of HR748, The Coronavirus Aid, Relief and Economic Security (CARES) Act. The CDA highlights the most useful information for dentists, dental students, and dental team members.

(03/26/2020) CARES Act Signed Into Law, Will Provide Targeted Relief for Dentists, Dental Teams
An article written by the California Dental Association (CDA) informing their members about the third legislative relief package of HR748 The Coronavirus Aid, Relief and Economic Security (CARES) Act. CDA highlights the most useful information for dentists, dental students and dental team members.

(XX/XX/20) COVID-19 Frequently Asked Questions
The ADA Center for Professional Success’ COVID-19 Center provides answers to frequently asked questions regarding financial and dental benefits. Topics covered include business interruption insurance, provider relief funds, small business administration loans, and tips on billing and coding for teledentistry appointments.