Dental Managed Care All Plan Letters
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2026 Dental All Plan Letters
| Letter Number | Title (Subject) of Letter | Date of Issue |
| APL 26-001 | 2025-2027 Medi-Cal Dental Managed Care Plan MEDS/834 Cutoff and Processing Schedule | January 27, 2026 |
| APL 26-002 | Alternative Format Selection for Members with Visual Impairments (Supersedes 22-011) | February 3, 2026 |
| APL 26-003 | Beneficiary Dental Exceptions and Dental Exemption Requests | March 17, 2026 |
| APL 26-004 | 2026 Calendar Year (CY) Deliverable Schedule for Dental Managed Care Plans 2026 Deliverable Schedule | April 13, 2026 |
2025 Dental All Plan Letters
| Letter Number | Title (Subject) of Letter | Date of Issue |
| APL 25-001 | Disaster Assistance to Evacuated Members and Dental Offices | January 9, 2025 Revised: February 27, 2025 & April 22, 2025 |
| APL 25-002 | Continuity of Care for DMC Members on or after July 1, 2025 (Supersedes APL 17-011E) | March 25, 2025 Revised: May 23, 2025 |
| APL 25-003 | Transition Policy Guide | March 25, 2025 |
| APL 25-004 | 2024-2025 Medi-Cal Dental Managed Care Plan MEDS/834 Cutoff and Processing Schedule | April 7, 2025 |
| APL 25-005 | 2025 Deliverable Schedule 2025 Deliverable Schedule | April 23, 2025 Revised: May 6, 2025 |
| APL 25-006 | Standards
for Determining Threshold Languages, Nondiscrimination Requirements, Language
Assistance Services, and Alternative Formats (Supersedes APL 21-001) Threshold and Concentration Language for All Counties Notice of Nondiscrimination Template Notice of Availability Template Statement of Nondiscrimination for Small Sized Notices Template | May 19, 2025 |
| APL 25-007 | Dental Managed Care (DMC) Plan Member Soft Cap Limit | August 12, 2025 |
| APL 25-008 | Grievance and Appeals Reporting Template Update to Align with Centers for Medicare and Medicaid Services (CMS) Categories | September 30, 2025 |
| APL 25-009 | Oral Health Performance Measures For Dental Managed Care Contracts Effective July 1, 2025 Attachment A: Performance Measures and Benchmarks Performance Measures Template | October 10, 2025 |
| APL 25-010 | Medi-Cal Dental Managed Care Plan Provider Directory Updates | October 17, 2025 |
| APL 25-011 | Discontinuation of Proposition 56 Tobacco Tax Funds Incentive Supplemental Payments | October 31, 2025 |
| APL 25-012 | Dental Community Health Worker Services Benefit | December 29, 2025 Revised: February 18, 2026 |
2024 Dental All Plan Letters
| Letter Number | Title (Subject) of Letter | Date of Issue |
|---|---|---|
| APL 24-001 | APL 24-001: Modifications to the Grievance and Appeals Deliverable Template For the Medi-Cal Dental Managed Care Program (Supplement APL 22-006) Grievance and Appeals Template | February 26, 2024 |
| APL 24-002 | Dental Coverage Disclosures | May 8, 2024 |
| APL 24-003 | Medical Loss Ratio Requirements for Subcontractors and Downstream Subcontractors | October 10, 2024 |
| APL 24-004 | 2025 Deliverable Schedule 2025 Deliverable Schedule | December 16, 2024 |
| APL 24-005 | Dental Community Health Worker Services Benefit | December 19, 2024 |
2023 Dental All Plan Letters
| Letter Number | Title (Subject) of Letter | Date of Issue |
|---|---|---|
| APL 23-001 | Teledentistry Expansion Policy | April 26, 2023 |
| APL 23-002 | Cost Avoidance and Post-Payment Recovery for Other Health Coverage Appendix A: OHC Code Descriptions and Scope of Coverage (COV) Codes Chart Appendix B: Naming Convention | April 26, 2023 |
| APL 23-003 | 2023 Deliverable Templates (Supersedes APL 14-012) | June 8, 2023 |
| APL 23-004 | Updated Grievance and Appeals Submission Due Date (Supplement APL 22-006) | October 20, 2023 |
| APL 23-005 | 2024 Deliverable Schedule (Supersedes APL 22-015) | December 21, 2023 |
2022 Dental All Plan Letters
| Letter Number | Title (Subject) of Letter | Date of Issue |
|---|---|---|
| APL 22-001 | Provider Billing Practices | January 28, 2022 |
| APL 22-002 | Medi-Cal Dental Managed Care Plan Performance Measures | February 16, 2022 |
| APL 22-003E (Revised) | Treatment of Recoveries Made by Managed Care Dental Plans of Overpayments to Providers | February 16, 2022 Revised: April 20, 2022 |
| APL 22-004 | Current Dental Terminology 22 | June 2, 2022 |
| APL 22-005 | Fraud, Waste and Abuse Reporting | June 24, 2022 |
| APL 22-006 | Grievance and Appeals Requirements Notice and “Your Rights” Templates (Supersedes APL 20-003) APL 22-006 Member Notices: Notice of Action Deny Delay Modify Terminate NOA Your Rights (Knox-Keene) Notice of Appeal Resolution (NAR) Overturn Uphold NAR Your Rights (Knox-Keene) State Fair Hearing | July 22, 2022 |
| APL 22-007 | Payment Withhold for Performance Measures, Quality Metrics and Benchmarks (Supersedes APL 16-009) APL 22-007 Attachment: DMC Performance Measures Quality Metrics and Benchmarks | July 22, 2022 |
| APL 22-008 | Guidance Regarding AB 1184 | July 28, 2022 |
| APL 22-009 | Enforcement Actions: Administrative and Monetary Sanctions (Supersedes APL 13-004) | August 19, 2022 |
| APL 22-010 | Managed Care Program Annual Report (MCPAR) | September 30, 2022 |
| APL 22-011 | Alternate Format Selection for Members with Visual Impairments Alternate Format Selection Technical Guidance for Medi-Cal Dental Managed Care Plans Alternate Format Data Process Guide Alternate Format Selection Application User Guide | September 12, 2022 |
| APL 22-012 | Continued Supplemental Payment For Certain Dental Services Using Proposition 56 Tobacco Tax Funds | October 3, 2022 |
| APL 22-013 | Interoperability | December 1, 2022 |
| APL 22-014 | Long Term Care Integration | December 23, 2022 |
| APL 22-015 | 2023 Deliverable Schedule | January 3, 2023 |
2021 Dental All Plan Letters
| Letter Number | Title (Subject) of Letter | Date of Issue |
| APL 21-001 | Standards for Determining Threshold Languages, Nondiscrimination Requirements, and Language Assistance Services Threshold and Concentration Languages for All Counties Notice of Nondiscrimination Template Taglines Template | May 14, 2021 |
| APL 21-002 | Dental Managed Care (DMC) Dental Transformation Initiative (DTI) Change Log Clarification DTI Change Log Template | July 13, 2021 |
| APL_21-003 | Extension Of One-Year Supplemental Payment For Certain Dental Services Using Proposition 56 Tobacco Tax Funds Allocated For Calendar Year 2021 | July 30, 2021 |
| APL 21-004 | Current Dental Terminology 21 | October 18, 2021 |
| APL-21-005 | CalAIM Requirements | November 23, 2021 |
| APL-21-006 | Calendar Year 2022 Deliverables Schedule | December 31, 2021 |
2020 Dental All Plan Letters
| Letter Number | Title (Subject) of Letter | Date of Issue |
| APL 20-001 | Extension of One-Year Supplemental Payment For Certain Dental Services Using Proposition 56 Tobacco Tax Funds Allocated For State Fiscal Year 2019-20 | February 7, 2020 |
| APL 20-002 | Continuation of Supplemental Payments For Certain Dental Services Using Proposition 56 Tobacco Tax Funds for July 1, 2020 Through December 31, 2020 | September 21, 2020 |
APL 20-003 (Supersedes APL 17-003E) | Centers For Medicare and Medicaid Services (CMS) Final Rule Revisions Effecting Grievance and Appeal Requirements; Revised “Your Rights” Attachments Grievance and Appeal Requirements; Revised Notice Templates and “Your Rights” AttachmentsAPL 20-003 Member Notices: Notice of Action (NOA) Deny/Modify Delay Revised NOA Your Rights (Knox-Keene) Notice of Appeal Resolution (NAR) Overturn Uphold Revised NAR Your Rights (Knox-Keene) 1557 Notices Language Assistance Taglines Nondiscrimination Notice | December 14, 2020 |
| APL 20-004 | 2021 Deliverables Schedule | December 23, 2020 |
2019 Dental All Plan Letters
| Letter Number | Title (Subject) of Letter | Date of Issue |
|---|---|---|
| APL 19-001 | Early and Periodic Screening Diagnostic and Treatment (EPSDT) Services | January 25, 2019 |
| APL 19-002 | Extension of One-Year Supplemental Payment For Certain Dental Services Using Proposition 56 Tobacco Tax Funds Allocated for State Fiscal Year 2018-19 APL 19-002 Attachment: Proposition 56 Directed Payment Report Template (MS Excel) | February 11, 2019 |
| APL 19-003 | Payment Error Rate Measurement (PERM) Provider Update | March 20, 2019 |
| APL 19-004 | X12 274 Provider Network Data Reporting Requirements (Supersedes APL 17-010) | August 14, 2019 |
2018 Dental All Plan Letters
| Letter Number | Title (Subject) of Letter | Date of Issue |
|---|---|---|
| APL 18-001 | Revised Grievance and Appeal Report APL 18-001 Attachment: Quarterly Grievance and Appeal Report Template (MS Excel) | January 3, 2018 |
| APL 18-002 | APL 18-002 Exhibit A, Attachment 5- Quality Improvement System (Supersedes APL 15-018) | January 22, 2018 |
| APL 18-003E (Revised) | Network Adequacy Standards for Timely Access to Care for Routine and Specialist Appointments APL 18-003 Attachment: DMC Timely Access Template (MS Excel) | January 9, 2018 Revised: March 15, 2018 |
| APL 18-004 | Provider Screening / Enrollment and Credentialing / Recredentialing APL 18-004: Frequently Asked Questions (FAQ) | January 16. 2018 |
| APL 18-005 | Dental Transformation Initiative (DTI) Domain 2 Outreach | February 7, 2018 |
| APL 18-006 | Modifications to the Performance Measures and Benchmarks for the Medi-Cal Dental Managed Care Program (Supersedes APL 16-017) APL 18-006 Attachment: DMC Performance Measure Template | March 13, 2018 |
| APL 18-007 | Requirements for Oral Health Assessments | June 15, 2018 |
| APL 18-008 | Language Access Services for Limited-English Proficient and Non-English Proficient Individuals | May 1, 2018 |
| APL 18-009 | Requirements for Use of Non-Monetary Member Incentives APL 18-009 Attachment: Member Incentive (MI) Program Request for Approval Form | June 22, 2018 |
| APL 18-010 | Proposition 56 Directed Payment Expenditures for Dental Services for State Fiscal Year 2017-18 | May 16, 2018 |
| APL 18-011 | Encounter Data Submission Reconciliation Form | June 25, 2018 |
2017 Dental All Plan Letters
| Letter Number | Title (Subject) of Letter | Date of Issue |
|---|---|---|
| APL 17-001 | 2017 Deliverables Schedule | January 24, 2017 |
| Member Handbook and Evidence of Coverage | May 24, 2017 | |
APL 17-003E Superseded by APL 20-003 | Grievance and Appeal Requirements; Revised Notice Templates and “Your Rights” Attachments APL 17-003 Member Notices: Notice of Action (NOA) Deny/Modify Delay NOA Your Rights (Knox-Keene) Notice of Appeal Resolution (NAR) Overturn Uphold NAR Your Rights (Knox-Keene) State Hearing Form 1557 Notices Language Assistance Taglines Nondiscrimination Notice | May 24, 2017 |
| APL 17-004 | Prior Authorization for Intravenous Sedation and General Anesthesia Services | June 28, 2017 |
| APL 17-005 | Reminder Regarding Requirement to Submit Specialty Referrals Report | July 28, 2017 |
| APL 17-007 | One-Year Supplemental Payment Using Proposition 56 Tax Funds | November 21, 2017 |
| APL 17-008 | Network Adequacy Standards for Time and Distance | November 8, 2017 |
| Full Restoration of Adult Dental Benefits for the Medi-Cal Dental Managed Care Program | November 27, 2017 | |
| APL 17-010 | Plan Provider Network and Changes to Plan Provider Network | December 1, 2017 |
APL 17-011E | Transition of Care Policy | December 18, 2017 Revised: April 5, 2018 |
| APL 17-012 | 2018 Deliverables Schedule | December 27, 2017 |
2016 Dental All Plan Letters
| Letter Number | Title (Subject) of Letter | Date of Issue |
|---|---|---|
| APL 16-001 | Due Dates for All Dental Managed Care Contracts for Calendar Year 2016 | January 14, 2016 |
| APL 16-002 | Discontinuation of Website Posting for All Plan Letters | January 29, 2016 |
| APL 16-005 | Registered Dental Hygienists in Alternative Practice Policy Amendments | January 20, 2016 |
| APL 16-009 | Waiver of the Capitation Payment Withhold for Performance Measures and Benchmarks | August 1, 2016 |
| APL 16-010 | Final Rule Notice of Modernized Managed Care Regulation 42 C.F.R. § 438.706: Special Rules for Temporary Management Effective July 5, 2016 | January 20, 2017 |
| APL 16-011 | Final Rule Notice of Modernized Managed Care Regulation 42 C.F.R. § 438.710: Notice of Sanction and Pre-Termination Hearing | January 20, 2017 |
| APL 16-013 | Final Rule Notice of Modernized Managed Care Regulation 42 C.F.R. § 438.2: General Provisions, Definitions Effective July 5, 2016 | January 20, 2017 |
| APL 16-014 | Final Rule Notice of Modernized Managed Care Regulations: 42 C.F.R. § 438.3 (d) Standard Contract Requirements and 42 C.F.R. § 440.262 Access and Cultural Considerations | January 20, 2017 |
| APL 16-016 | Emergency Dental Services | September 9, 2016 |
| APL 16-017 | Performance Measure Implementation | October 14, 2016 |
| APL 16-019 | Final Rule Notice of Modernized Managed Care Regulation 42 C.F.R. § 438.50: Public Health, Regulation, State Plan Requirements | January 20, 2017 |
| APL 16-020 | Final Rule Notice of Modernized Managed Care Regulation 42 C.F.R. § 438.3(f): Compliance with Applicable Laws and Conflicts of Interest Safeguards | January 19, 2017 |
2015 Dental All Plan Letters
| Letter Number | Title (Subject) of Letter | Date of Issue |
|---|---|---|
| APL 15-002 | Department of Health Care Services Policy Updates Regarding Aggregate Data Reporting | March 27, 2015 |
| APL 15-003 | Participation of Allied Dental Professionals in the Dental Managed Care Program | May 20, 2015 |
| APL 15-004 | Clarification on Exhibit A, Attachment 3: Financial Information | March 12, 2015 |
| APL 15-005 | Prior Authorization for Intravenous Sedation and General Anesthesia Services | April 1, 2016 |
| APL 15-006 | Virtual Dental Home Implementation n the Dental Managed Care Program | June 1, 2015 |
| APL 15-007 | Transition to Post Adjudication Claims and Encounter Data Systems (PACES) | May 21, 2015 |
| APL 15-009 | Modifications to the Performance Measures and Benchmarks for the Medi-Cal Dental Managed Care Program | October 9, 2015 |
| APL 15-014 | Approval Process for Annual Rates Packages and Rate Adjustments | September 15, 2015 |
| APL 15-015 | Update Regarding Virtual Dental Home Implementation in the Dental Managed Care Program | September 2, 2015 |
| APL 15-016 | Increased Frequency Limitations for Certain Preventative Services for Beneficiaries Residing in Skilled Nursing Facilities and Intermediate Care Facilities | November 24, 2015 |
| APL 15-018 | Quality Improvement Projects Guidelines and Schedule | November 24, 2015 |
| APL 15-019 | Modification of Adjudication Criteria for D0145 | December 2, 2015 |
2014 Dental All Plan Letters
| Letter Number | Title (Subject) of Letter | Date of Issue |
|---|---|---|
| APL 14-001 | Revised: Due Dates for All Dental Managed Care Contracts for Calendar Year 2014 | August 14, 2014 |
| APL 14-002 | Revised: Notice of Changes Regarding Adult Dental Services at Federally Qualified Health Centers and Rural Health Clinics and the Restoration of Some Adult Dental Benefits | August 19, 2014 |
| APL 14-003 | Update Regarding the Restoration of Some Adult Dental Services Effective May 1, 2014 | May 16, 2014 |
| APL 14-004 | Consumer Satisfaction Survey | July 23, 2014 |
| APL 14-007 | Clarification on Exhibit A, Attachment 5, Provision L, to Include Requirements to Comply with the Program Integrity Provisions of 42 Code of Federal Regulations | August 25, 2014 |
| APL 14-008 | Expanded Services for Pregnant Beneficiaries Effective May 1, 2014 | August 14, 2014 |
| APL 14-009 | Comprehensive Services for Pregnant Beneficiaries Effective October 1, 2014 | October 1, 2014 |
| APL 14-010 | County Specific Benchmarks Effective January 1, 2013 for Geographic Managed Care and July 1, 2013 for Prepaid Health Plan | January 30, 2015 |
| APL 14-012 | Updated Performance Measures and Benchmarks Deliverable Template | October 21, 2014 |
| APL 14-014 | Due Dates for All Dental Managed Care Contracts for Calendar Year 2015 | January 9, 2015 |
| APL 14-017 | Requirements for Coverage of Early and Periodic Screening, Diagnostic, and Treatment Services for Medi-Cal Beneficiaries Under the Age of Twenty One | December 12, 2014 |
2013 Dental All Plan Letters
| Letter Number | Title (Subject) of Letter | Date of Issue |
|---|---|---|
| APL 13-000 | Implementation Deliverable Requirements and Due Date for the GMC Plans | January 11, 2013 |
| APL 13-001 | Due Dates for All Deliverables for Calendar Year 2013 | January 1, 2013 |
| APL 13-002 | Minimum Loss Ration Clarification | January 1, 2013 |
| APL 13-004 | Clarification on Exhibit A, Attachment 5: Provision N – Corrective Action Plan | January 1, 2013 |
| APL 13-005 | Clarification on Exhibit A, Attachment 6: Performance Measures and Benchmarks | January 1, 2013 |
| APL 13-006 | Clarification on Exhibit A, Attachment 7: Utilization Management | January 1, 2013 |
| APL 13-007 | Clarification on Exhibit A, Attachment 9: Provision B – Provider Grievances | January 1, 2013 |
| APL 13-008 | Clarification on Exhibit A, Attachment 10: Provision F – Federally Qualified Health Centers, Rural Health Clinics; and Indian Health Service Facilities | January 1, 2013 |
| APL 13-009 | Clarification on Exhibit A, Attachment 11: Provision B and H – Sub-provision 3 & 5, Timely Access, and Linguistic Services | January 1, 2013 |
| APL 13-010 | Clarification on Exhibit A, Attachment 17: Provision C – Marketing Plan | January 1, 2013 |
| APL 13-011 | Clarification on Delivery Methods and DHCS Contacts | January 1, 2013 |
| APL 13-012 | Healthy Families Reporting Aid Codes and Due Date | February 14, 2013 |
| APL 13-013 | Deliverables for Exhibit A, Attachment 12: Provision D – Health Education | March 1, 2013 |
| APL 13-014 | Clarification on Exhibit A, Attachment 9: Provision E – Provider Training | March 1, 2013 |
| APL 13-015 | Dental Managed Care Rates for 2013 | April 26, 2013 |
| APL 13-016 | Implementation Deliverable Requirements and Due Date for the PHP Plans | June 13, 2013 |
| APL 13-017 | Some Adult Dental Services to be Restored May 1, 2014 | October 4, 2013 |
| APL 13-018 | Dental Managed Care Revised Rates for 2013 | September 13, 2013 |
| APL 13-021 | Insure Kids Now Website | October 16, 2013 |
| APL 13-022 | Due Dates for All PHP Deliverables for Calendar Year 2013-2014 | November 19, 2013 |
| APL 13-023 | Implementing a new Encounter Data Capture and Transmission System | December 17, 2013 |