Webinar on Dental Procedures Performed in Ambulatory Surgical Centers
Please join the MO HealthNet Division (MHD) on June 17, 2024, for a training specifically for Ambulatory Surgical Center (ASC) providers covering how to bill for dental procedures. This is a one-hour virtual training beginning at 1:00 pm. The training will cover the information below, as well as additional billing information and MHD resources.
Effective for dates of service on or after July 1, 2023, MHD implemented a new ASC fee schedule based on Medicare’s ASC payment system. The state-developed fees for covered ASC surgical procedures are based on 90% of the Medicare ASC rates, effective January 1 of each year.
MHD reimburses MO HealthNet-enrolled ASCs for dental procedures performed in their facilities. Under the new ASC payment methodology, providers should bill using the Current Dental Terminology© (CDT) codes included on the MHD Fee Schedule under “Other Medical,” with the SG modifier, to receive maximum reimbursement for services.
Providers should contact MHD.ClinicalServices@dss.mo.gov if a CDT code for a procedure with the SG modifier is not found on the MHD Fee Schedule.
This information also applies to providers contracted with MHD’s Managed Care Organizations.
Register today for the June 17th Dental Procedures Performed in Ambulatory Surgical Centers webinar.
Review Navigating Provider Resources or register for an upcoming provider training for more information on MHD Fee Schedules.