The Academy of General Dentistry (AGD) recently submitted a comment to the Centers for Medicare & Medicaid Services (CMS) on its Medicare physician fee schedule proposals and request for information on Medicare Part A and B payment for dental services.

In its comments to CMS,  AGD leaders, Gerald J. Botko, MS, DMD, MAGD, president of AGD, Myron (Mike) Bromberg, DDS, chair, AGD’s Legislative and Government Affairs Council, and Joseph Battaglia, MS, DMD, chair, AGD’s Dental Practice Council, explain that it’s the organization’s opinion that CMS does not have the authority to expand coverage regarding medically necessary dental provisions.

In June of 2022, more than 100 U.S. House Representatives sent a letter to the CMS administrator urging the use of its regulatory authority to increase Medicare’s coverage of some dental services. In the letter, the congressional representative indicated support if the Agency expanded its determination of “medically necessary” dental care. In AGD’s comments it notes that based on legislative proposals circulating through Congress it is perceived that the agency is responding to the preferences of a single political party.

According to AGD’s letter, CMS’s research must be verifiable and reproducible and not based on poor-quality evidence. The authors stress that, “The federal government must demonstrate the scientific basis for declaring medical necessity for dental indications and it has not yet done so.”

Other details covered in AGD’s comment to CMS include:

AGD looks forward to working with the CMS on upcoming proposals. The full letter can be accessed online.

About the Academy of General Dentistry

The Academy of General Dentistry (AGD) is a professional association of more than 40,000 general dentists dedicated to providing quality dental care and oral health education to the public. Founded in 1952, AGD is the largest association pf general dentists.

For more information about AGD, visit, www.agd.org.

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