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Regulatory & Compliance : National Provider Identifier

National Provider Identifier (NPI)

Anyone who uses standard electronic transactions, like electronic claims, eligibility verifications, claims status inquiries and claim attachments, is required by federal law to use NPIs on all electronic transactions. In addition, those dentists who use only paper, voice and fax to transmit these communications may find NPIs useful or necessary for other reasons. The ADA encourages all dentists to obtain and use a NPI, particularly those using (or planning to use) electronic transactions. The NPI will replace other identification numbers issued by health plans and will be required for electronic transactions and, at insurers' discretion, for paper transactions. Dentists can apply online at http://nppes.cms.hhs.gov.
 

News Items

2010 Legislative Session in Final Week

The SDDA's legislation to preclude insurance companies from dictating maximum allowable charges for non-covered services has cleared the Senate and the House and is on its way to the Governor's desk.
While there is no overt action to reduce funding for the Adult Dental Medicaid Program, on-going efforts to cut spending - in order to balance the State budget - require us to keep a watchful eye on the Program.  Adult Dental is the only optional program within the Medicaid Program. We continue to closely monitor the budget process closely and it appears, at this time, that the Adult Medicaid Program will not be cut.

Follow Legislative happenings by using our online grassroots advocacy system. All members can access updated information on  legislation affecting dentistry through the SDDA's web site. Members should go to the Advocacy page on the web site (click here) to access the online system. Once in the system, members can peruse a list of bills the SDDA is following, track the legislation as it works its way through the process and read background information on the legislation. The system will also allow members to view how their Legislators voted on our issues. The system is password protected - members should use SDDA as the user name and their ADA number as the password.