Senate File 470 introduces new regulations regarding prior authorization for dental care services, the disclosure of state-regulated dental care service plans, and the recovery of overpayments by dental carriers. The bill mandates that dental carriers cannot deny claims for services that have received prior authorization and must reimburse providers at the contracted rate for those services. It outlines specific exceptions under which a claim may be denied despite prior authorization, such as changes in the covered person's eligibility or dental condition. Additionally, the bill prohibits any contractual waivers of these requirements, ensuring that they remain enforceable.

The bill also requires dental carriers to inform providers when a covered person's dental care service plan is state-regulated and to include this information on identification cards issued after July 1, 2025. Furthermore, it establishes procedures for dental providers to appeal overpayment recovery requests, including a timeline for notification and the right to access claim information. Dental carriers must provide written notice of any overpayment within 365 days and can recover overpayments by withholding payments for other claims, provided they notify the provider within 28 days. The bill emphasizes that these provisions cannot be waived by contract, reinforcing the protections for dental care providers and covered persons.