NYSDA Publications

CMS Issues Final Medicare Payment Rules Expanding Dental Service Coverage

The United States Department of Health and Human Services (HHS) has issued the final Medicare payment rules below.  HHS is codifying current policies in which Medicare Parts A and B pay for dental services when that service is integral to treating a beneficiary's medical condition.  Medicare will also pay for dental examinations and treatments in more circumstances, such as to eliminate infection preceding an organ transplant and certain cardiac procedures beginning in CY 2023 and prior to treatment for head and neck cancers beginning in CY 2024.  Finally, CMS is establishing an annual process to review public input on other circumstances when payment for dental services may be allowed.

Final Rules