Beneficiary Dental Exception Reports
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For more information on the Beneficiary Dental Exception (BDE) process, which allows a beneficiary to request to opt-out of Medi-Cal DMC and move into a Fee-For-Service Plan please refer to the Beneficiary Dental Exception - Members page for instructions.
As part of the California Advancing and Innovating Medi-Cal (CalAIM) 1915(b) waiver Special Terms and Conditions (STC), the Department of Health Care Services (DHCS) conducted a parity evaluation to assess the performance (utilization) of Sacramento County dental managed care (DMC) plans compared to the statewide dental Fee-For-Service (FFS) delivery system. Based on the evaluations, members currently enrolled in DMC plans have the option to enroll in FFS beginning in December 2023 until the start of the new contract with DMC plans. Consequently, starting December 2023, members are not required to submit a Beneficiary Dental Exception to transition from DMC to FFS, which results in no reporting for BDE until the start of the new contracts with DMC plans. If members no longer want to stay with your DMC plan, they can call Health Care Options (HCO) to choose to receive dental services via the dental FFS delivery system at 1-800-430-4263, TTY: 1-800-430-7077 Monday through Friday, 8 a.m. to 6 p.m., or visit their website at https://www.healthcareoptions.dhcs.ca.gov/enroll. Note, members who choose FFS may not re-enroll into a DMC plan until new contracts with DMC plans are implemented. Please refer to the following member bulletin for additional information: Medi-Cal Dental Member Bulletin. Once new DMC plan contracts are implemented in July 2025, members in Sacramento County will be required to be in a DMC plan. The Beneficiary Dental Exception process will resume, and members can complete and submit the form to DHCS for processing.
BDE Reports
2023
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