Dear Valued Providers,
We appreciate your partnership in ensuring access to oral health care for the MDwise Indiana Medicaid community. We recently became aware of some confusion regarding checks Delta Dental issued due to the lack of timely notification of a fee schedule update.
To recap, Delta Dental updated the Indiana Medicaid fee schedule on Jan. 1, 2025. This change was posted to the Dental Office Toolkit™ (DOT) for providers to view on Jan. 2, 2025. While Delta Dental aims to notify providers 30 days in advance of any significant changes, we unfortunately did not meet this standard in this case and sincerely apologize for the oversight.
To address this, Delta Dental issued bonus payments in the form of checks for any codes whose fees were reduced by the new schedule at the original rates for services rendered from Jan. 1 through March 31, 2025. These payments were made using Delta Dental funds, not Medicaid funds.
We want to make it clear that these checks are intended solely to correct the unexpected discrepancy in payments due to the untimely communication of the fee schedule change. These reimbursements are not related to actual encounters and will not impact wrap payments or future provider audits from CMS. These are simply bonus payments to address the untimely fee notification.
We apologize for any confusion this may have caused and thank you for your understanding and continued support.
Sincerely,
Delta Dental of Indiana
DR-05-2025-16915/HHW-HIPP0984 (5/25)