§ 17-82-704 — Reimbursement

(a) A health insurance company, Medicaid, or other person that pays a fee for service performed by a collaborative dental hygienist under this subchapter shall submit the payment directly to the consulting dentist. (b) If a health insurance company, Medicaid, or other person pays a fee for service performed by a dental hygienist under this subchapter to the collaborative dental hygienist, the collaborative dental hygienist shall deliver the payment to the consulting dentist. (c) (1) If, however, language in the collaborative agreement required under this subchapter conflicts with a federal law, a federal rule, or a federal regulation, the federal law, federal rule, or federal regulation shall control, and the conflicting language of the agreement shall be disregarded. (2) For the limited purposes of Medicaid reimbursement under this subchapter, the collaborative dental hygienist is deemed to be an employee of the consulting dentist, and the collaborative dental hygienist as a condition of employment under this subchapter shall submit the Medicaid payment for services performed under this subchapter to the consulting dentist. (d) If the consulting dentist for the collaborative dental hygienist is not a participating provider under the terms of a patient's insurance carrier, a health insurance company may pay the patient directly.

Legislative History

Amended by Act 2013, No. 137,§ 1, eff. 8/16/2013. Acts 2011, No. 89, § 1.