This bill establishes new regulations regarding prior authorization for dental care services, the notification of dental care providers about state regulation of dental care service plans, and the recovery of overpayments by dental carriers. It mandates that dental carriers cannot deny claims for services that have been approved through prior authorization and must reimburse providers at the contracted rate for those services. However, there are specific exceptions under which a claim may be denied, such as changes in the covered person's eligibility or if the provider has already been paid for the services.

Additionally, the bill requires dental carriers to inform providers if a covered person's dental care service plan is state-regulated, both through an online portal and on identification cards issued after July 1, 2025. It also outlines the procedures for appealing overpayment recoveries, stipulating that carriers must notify providers of any overpayment within 365 days and allow a minimum of 90 days for appeals. The bill prohibits any contractual waivers of its requirements, ensuring that these regulations are upheld. The commissioner of insurance is authorized to adopt rules to administer these provisions.