CY 2023 Physician Fee Schedule Proposed Rule

The Consortium for Medically Necessary Oral Health Coverage – a leading consensus-building alliance of more than 240 dental, medical, patient, and consumer organizations – has drafted comments to the Centers for Medicare and Medicaid Services (CMS) on the proposals and request for information on Medicare Parts A and B Payment for Dental Services in the CY 2023 Physician Fee Schedule Proposed Rule. 

Working together, the Consortium’s members have undertaken detailed clinical, policy, legal, research, fiscal, and constituent analyses to help decision makers determine the optimal solution to the decades-old problems posed by the Medicare program’s historical approach to oral health coverage. Highlights of the Consortium’s efforts include presentation of the legal basis for administrative action expanding medically necessary oral health coverage, compilation of clinical and academic evidence of the need for medically necessary coverage, documentation of the private sector precedent for and the savings projected to be generated from such coverage, assessment of aging Americans’ strong support for expanded coverage, and circulation of a diversely signed Community Statement on Medicare Coverage for Medically Necessary Oral and Dental Health Therapies.

Click here to download a copy of the Consortium’s comments to the CMS.