COVID-19 Coding and Billing Interim Guidance : PPE
payment ). A third lump-sum payment would be made in August 2020 for adjudicated claims for billable dates of service rendered from May 1 to July 31 , 2020 ( excluding claims included in the prior two payments ). And a final lump-sum payment would come in September 2020 for adjudicated claims for billable dates of service rendered from May 1 to July 31 , 2020 ( excluding claims included in the prior three payments ) and received by DDCO on or before August 31 , 2020 .
• Unless DDCO decides to extend the PPE Reimbursement Program , the cut-off for the receipt of claims eligible for this program is August 31 , 2020 , and any claims received after that date will not be eligible for this program .
• Existing open orthodontics claims will receive a one-time payment of $ 24 per adjudicated claim to cover the full program period . New orthodontic claims will receive a prorated allowance based on banding date . Dentists do not need to submit an additional claim for open treatment cases .
• To be eligible for the PPE Reimbursement Program , providers must : 1 . Be enrolled in the DDCO PPO or Premier network as of the date of service . 2 . Currently participate in DDCO ’ s EFT / Direct Deposit or enroll by June 12 , 2020 . 3 . Remain enrolled for the remainder of the program .
Hawaii Dental Service ( HDS )
• Offering the HDS COVID-19 Interim Supplemental Program ( the “ Program ”) for participating HDS dentists in Hawaii , Guam , and Saipan to receive a $ 10 supplemental payment per eligible patient visit , retroactive from May 1 , 2020 through July 31 , 2020 .
• The Program is a new , temporary financial support program that does not have to be repaid to HDS – to help practices alleviate the costs associated with resuming dental operations during the COVID-19 pandemic .
• Participating dentists do not have to opt-in to the Program and will automatically receive monthly supplemental payments for eligible patient visits .
• Patient visits are counted once per patient , per date of service , per provider , and per service location , during the Program time period , May 1 , 2020 through July 31 , 2020 .
• Pre-authorizations , duplicate claims for patient visits , non-par visits , and teledentistry patient encounters are not eligible . Per HDS Policy , dentists may not charge PPE costs to the patient .
• Access Frequently Asked Questions ( FAQ ).
Delta Dental of Arkansas
• $ 2,500 grants are available to Delta Dental of Arkansas providers to help offset some of the costs of additional Personal Protection Equipment and sanitization supplies
• Applications will be accepted May 13 – June 1 , 2020
• Grantees must spend all funds before December 31 , 2020 .
• DDAR considers infection control costs to be part of the procedure such that there is not a separate payable amount and it is not be billable to the patient .
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