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Dentists fear Medicaid reimbursement cuts would reduce access to care in North Carolina

Image shows High Point free dental clinic
Paul Garber
/
WFDD
Dental professionals and students provide care to patients during a free dental clinic in High Point in March.

Earlier this year, North Carolina dental providers were hopeful about a bill that would have raised Medicaid reimbursement rates.

Now, a state budget shortfall may instead lead to a decrease.

House Bill 60 would have increased the dental care reimbursement rate from the current 35 percent to 46 percent.

There hasn’t been a change in the rate since 2008. But the measure stalled in the legislature.

The state “minibudget” passed over the summer created a $319 million Medicaid shortfall. To make up the difference, North Carolina health leaders plan to reduce reimbursements by 3 percent.

Now dental advocates have less than a month to press for a change.

Winston-Salem dentist Dr. Robert Stowe says the cut will leave many low-income families without access to care.

“You got a system that the reimbursement is so low now that you have providers who are seeing Medicaid dental patients that they're taking a loss on already,” he says. “Then you're going to cut that fee by 3 percent — it's just untenable.”

Stowe says when patients lose access to oral care, it can affect their overall health as well.

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