Clinic Dental Claim Recoveries

March 28, 2018: Attention Clinic (FQHC and THC) Dental Providers: Beginning after March 26, 2018, providers will begin seeing takebacks for clinic dental claims where more than one (1) dental qualifying visit was paid for the same beneficiary, same date of service. As of 3/26/2018 dental claims will only be reimbursed for one (1) dental qualifying visit per beneficiary, per date of service. The Alternative Payment Methodology (APM) will also be applied when appropriate. Please refer to MSA 17-10 and MSA 17-24 for further clarification.