The proposed bill aims to amend the Arkansas Medicaid Program to ensure reimbursement for dental and anesthesia costs associated with high complexity oral health care. It introduces a new section, 20-77-154, which defines "high complexity oral health care" as dental care complicated by either a craniofacial condition or an intellectual or developmental disability. The bill specifies that the Arkansas Medicaid Program will reimburse accredited dental schools and academic medical centers up to $3,750 per episode of care for individuals aged 18 and older requiring sedation dentistry, with an annual cap of $5,000 per individual.
Additionally, the bill outlines that the reimbursement will cover only professional fees and supply costs, excluding any discounts or rebates received by the dental schools and medical centers. It also allows for costs exceeding the annual cap to be approved by the Department of Human Services through a request for an extension of benefits. Furthermore, the Department is tasked with applying for any necessary federal waivers or amendments to implement these changes effectively.