How oral health care providers can participate in the CDCP
Oral health professionals play a vital role in delivering oral health care, and the Canadian Dental Care Plan (CDCP) will allow more Canadian residents to benefit from their care.
Participation in the CDCP
Starting March 11, 2024, oral health providers will be able to confirm their participation in the CDCP directly with Sun Life. Participation in the CDCP will be on a voluntary basis. Oral health providers eligible to participate and who can bill for services include:
- dental hygienists
- dental specialists
Oral health providers who participate in the CDCP will need to sign the CDCP Claims Processing and Payment Agreement. By signing the agreement, providers will undertake the following:
- validate CDCP client information, by making reasonable efforts to validate the identity of the person eligible for CDCP services through their existing patient intake process, before providing care
- confirm eligible services under the CDCP, by informing CDCP clients which of the recommended services will and will not be covered by the CDCP before they agree to receive care
- agree to receive direct payment from Sun Life for the services covered under the CDCP, in accordance with the CDCP established fees. Only the additional charges not covered under the plan (for example co-payment and other remaining fees) will be paid directly to the provider by the CDCP client
- provide information related to the claims submitted to the CDCP in accordance with the CDCP claims verification process and procedures, to verify the expenditure of taxpayer funds
CDCP established fees
Oral health providers will be compensated according to the CDCP established fees for each service covered under the plan. CDCP fees may differ from those set out in provincial and territorial suggested fee guides, that providers often use to charge for oral health services.
These fees will be reassessed annually to account for new evidence, inflation, and changes in costs over time. When coverage begins in May 2024, services covered under the plan will be compensated using 2024 CDCP fees (still to be released).
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