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Arizona Dentists
 

COVID-19 Advance Claim Payment Program (ACPP)

During the week of March 16, the Centers for Disease Control and Prevention and American Dental Association recommended that dentists postpone elective procedures, surgeries and non-urgent dental visits to mitigate the spread of the novel coronavirus (COVID-19). On March 19, Governor Doug Ducey issued Executive Order 2020-10 temporarily stopping non-essential and elective medical and dental surgeries within the state of Arizona.

We understand that limiting dental services to emergency treatment only may result in significant financial strain. To support Delta Dental of Arizona network dental offices during the COVID-19 crisis, Delta Dental of Arizona is introducing an Advance Claim Payment Program (ACPP). This program will allow Arizona dental offices to receive an advance of up to 100% of their average monthly claims payment from Delta Dental of Arizona. These advance payments are interest-free and will be recovered later in 2020, as practices begin to provide treatment once again.

Eligibility

To apply for the ACPP, dental offices must:

  • Participate in at least one of Delta Dental of Arizona’s networks (Premier, PPO)
  • Operate within Arizona
  • Ensure all dentists operating under the same Tax ID Number (TIN) are in “good standing” with Delta Dental of Arizona and the Arizona State Board of Dental Examiners
  • Complete the ACPP application/agreement below by April 10, 2020

Program Specifics

This opt-in program will offer Arizona dental offices that apply and qualify the advance payment of up to 100% of the practice’s average monthly claims reimbursement from Delta Dental of Arizona ($50,000 maximum advance), excluding orthodontia claims. The claims advance will be distributed in up to 2 equal installments. The first installment will be paid in April. The second installment will be paid in May, but only if Governor Ducey’s Executive Order 2020-10 has not been lifted prior to May 1, 2020.

  • This program is voluntary, and all interested Delta Dental of Arizona PPO and Premier dental offices will need to apply. The completed and signed ACPP application/agreement must be submitted online by April 10, 2020.
  • Financial assistance is available to all Delta Dental of Arizona contracted dental offices in Arizona, which includes any dentists working under the same Tax ID Number (TIN).
  • All dentists operating under the same TIN must be in “good standing” with Delta Dental of Arizona and the Arizona State Board of Dental Examiners.
  • Each dental office can request the advance payment of up to 100% of their average monthly Delta Dental of Arizona claims reimbursement, excluding orthodontia-related claims (up to a maximum total advance of $50,000). Orthodontia treatment plans will continue to pay per established schedule. Practices with multiple locations working under the same TIN will be aggregated to one maximum advance (payable in 2 payments).
  • Delta Dental of Arizona will make up to 2 equal pre-payments. The first advance will be in April 2020 and, if necessary, the second advance will be in May 2020. The May claims advance will be subject to the status of Governor Ducey’s Executive Order 2020-10 relating to dental surgery. If the mandate to halt elective and non-essential dental surgeries is lifted prior to May 1, 2020, the May claims advance will NOT be made by Delta Dental of Arizona.
  • There is no minimum claims advance.
  • The maximum monthly claims advance is $25,000 (or $50,000 total claims advance if 2 pre-payments are necessary).
  • All ongoing claims payments will continue to be made by Delta Dental of Arizona in a timely manner; claims advances will supplement these amounts.
  • The total of the claims advance made will be repaid without any interest by the receiving dental office over a 6-month period beginning in July 2020 and concluding on December 31, 2020. Participating dental offices will be invoiced equal amounts over this period with payments due at the end of each month.
  • Delta Dental of Arizona’s claims system is currently unable to make reimbursement withholds for purposes of repayment of advances made. If this functionality changes, Delta Dental of Arizona may offset future claims payment amounts by claims advances made with payments due at the beginning of each month.

Example: An office that averages $5,000 in monthly claims payment from Delta Dental of Arizona will be able to request a maximum advance of $5,000 over 2 months. The office would receive $2,500 in April and $2,500 in May (subject to the conditions described above) for a total of $5,000. Starting in July, Delta Dental of Arizona will begin invoicing the dental office monthly for $833.33 (assuming 2 pre-payments were made).

Timeline

We anticipate that application review and final decisions will be made within 1 week of application receipt, or upon completion of any follow-up process.

Questions

Please review our list of FAQs on the ACPP:

If you have questions about the program, please contact our professional relations team at prelations@deltadentalaz.com or 602.588.3982, option 5.

ACPP Application

The ACPP application deadline was April 10, 2020. No further applications are being accepted.

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