CMS Takes Important Steps in Addressing Coverage Gaps and Inconsistencies in Essential Health Benefits

The Centers for Medicare and Medicaid Services (CMS) has announced that it is taking important steps to remove barriers to coverage for adult dental care. In the annual Notice of Benefit and Payment Parameters for 2025 that outlines new proposed rules for insurance sold on the Affordable Care Act (ACA) Individual and Small Group markets, the CMS proposes to remove the regulatory prohibition on routine non-pediatric dental services, which would allow states to add routine adult dental services as essential health benefits.

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