NC S570

Department of Health and Human Services shall enter into capitated contracts with at least two prepaid dental plans to provide dental services to Medicaid and NC Health Choice recipients

Prepaid dental plans must offer statewide coverage in all 100 North Carolina counties and be licensed as prepaid ambulatory health plans under federal regulations

At least 85% of contracting fees must be used for direct patient care and quality improvement activities, with no more than 15% for administrative costs

Plans must reimburse dental providers on a fee-for-service basis using DHHS-set fee schedules and submit data through the Health Information Exchange Network for care coordination

DHHS must submit any necessary waiver applications and State Plan amendments to the Centers for Medicare and Medicaid Services (CMS) no later than January 1, 2020