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Clinical Guidelines
Commentary & Perspectives

Organized Dentistry Coalition urges CMS to not prohibit adult dental coverage

ODC urged CMS to not prohibit adult dental coverage as an essential health benefit in the proposed Notice of Benefit and Payment Parameters.

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  • 1

    ODC leads coalition urging CMS not to prohibit adult dental coverage.

  • 2

    Proposal impacts essential health benefits under ACA.

  • 3

    2025 rule allowed states to include adult dental benefits.

  • 4

    Concerns raised over access and accountability.

  • 5

    Coalition challenges CMS rationale for reinstating prohibitions.

  • 6

    ODC supports pediatric and adult services as essential benefits.

  • 7

    Concerns over reducing essential community provider thresholds.

  • 8

    ODC pushes for enhanced standards in dental plans reporting.

Original Source(s)

Organized Dentistry Coalition urges CMS to not prohibit adult dental coverage

  • by Olivia Anderson

  • March 24, 2026

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