Garcia also served as President of Colorado State University-Pueblo from 2006 to 2010 and Pikes Peak Community College from 2001 to 2006. Sacramento, CA 95814 Based on our review and study of adjustments to Premier and PPO provider agreements that Delta Dental has announced, as well as reports from CDA members, it appears that the changes Delta Dental is making are intended to increase its own profits without adequately considering the interests of network dentists and their patients. By phone. Exempts the prescription transfer requirements under specified conditions. Theapproved regulationsand abulletinsummarizing the important and substantive changes can be found on theOffice of the Attorney Generals CURES website. He earned a Masters degree in Hospital and Health Administration from the University of Iowa, a Doctor of Dentistry degree from the University of California, Los Angeles School of Dentistry and a certificate in oral and maxillofacial surgery from Cook County Hospital. More details about the litigation claims and process will be provided in the coming weeks. During his time as Lt. Director Board of Directors. Connect with your Delta Dental to learn more. (Term Expires: January 1, 2024), Angelita (Angie) Medina was appointed to the California Dental Board by Assembly Speaker Anthony Rendon in January 2021. In this capacity Don collaborates with the Premier Members Credit Union leadership to support the needs of the credit unions Pueblo County members. The Department of Managed Health Careasked Delta Dental to report any rate changes affecting over 10% of its provider network to the department. He is a former President of the South Central Idaho Dental Society, and has been a trustee with the Idaho State Dental Association. As a dental benefit plan company, Delta Dental has a responsibility to be transparent about such significant changes that affect its provider networks and their patients. We will be sharing additional details with CDA members about the legal action in the weeks to come. As a result, defendants are obtaining substantial wealth at the expense of Delta Dentals dentist members.. Through these companies, Delta Dental is the nation's largest provider of dental insurance, covering more than 80 million Americans, and offering the country's largest dental network with approximately 156,000 participating dentists. 1201 K Street, 14th Floor CIO at Delta Dental of California. Carlsbad dentists. He is currently on the boards of several organizations throughout the Denver metro area in addition to Delta Dental of Colorado including Ensemble Innovation Ventures, Denver Metro Chamber of Commerce, and American Cancer Society. The complaint states that this case challenges the actions and decisions of Delta Dental, a nonprofit, tax-exempt corporation that receives billions of dollars in annual revenues and pays its directors hundreds of thousands of dollars per year and its officers millions of dollars per year., The complaint continues: Defendants have operated Delta Dental as a private insurance company for their own financial gain without regard for the extraordinary community of dentists and their teams who actually provide the critical oral health care to the adults and children who need these services. Dr. Felsenfeld is a member of the American Association of Oral and Maxillofacial Surgeons, American and International College of Dentists, American Dental Association, American Dental Society of Anesthesiology, American Institute of Parliamentarians, Apollonian UCLA Dental Alumni, California Association of Oral and Maxillofacial Surgeons, California Dental Association, Omicron Kappa Upsilon National Dental Honor Society, Southern California Academy of Oral Pathology, Western Los Angeles Dental Society and the Western Society of Oral and Maxillofacial Surgeons. Where's the customer focus? Contact your company's human resources department. Sacramento, CA 95814 It made a $155 million deal this summer to acquire Moda, an Oregon health insurer, and in order to. Members: Phone: 844-883-4288 or 844-309-9252 (International) Customer Service available Monday through Friday from 8:00 a.m. to 8:00 p.m. Eastern Time, excluding holidays. CDA files new legal action against Delta Dental of California, Delta Dental must report changes affecting over 10% of its provider network to Department of Managed Health Care, Delta Dentals notice of upcoming contract changes raises concerns for dentists, CDA. Helen Drexler is president and CEO of Delta Dental of Colorado. Delta Dental of California is also facing claims it paid for board members' flights. The cost estimates provided may be different from your actual costs for several reasons, including but not limited to, your unique dental circumstances and the decisions made by you and your dental professionals as to what services you will receive, deviations between the anticipated scope of services and the services actually provided, and the characteristics of your particular plan. Specialist for Dental Assistant National Strategy and School Relations. Mark Goodman is a results-driven executive with experience in global brand development, building and rebuilding brand operations within consumer-driven retail, food and financial service industries. He was instrumental in the development of programs to improve access to care, including the Advanced Clinical Training and Service Program and the Area Health Education Center Program. You should always talk to your health care professionals for information concerning diagnosis and treatment, including information regarding which drugs or treatment may be appropriate for you. Delta Dental Plans Association and DeltaUSA appoint new officers to national boards. In addition, the Board has created an online confirmation registry for verifying a health care professional has registered for an exemption to the e-prescription requirements. Here are the benefits of creating an account. "Delta Dental" refers to the national network of 39 independent Delta Dental companies that provide dental insurance. We offer vision coverage through DeltaVision in 15 states and the District of Columbia. *Delta Dental of Californias operating areas encompass Alabama, California, Delaware, Florida, Georgia, Louisiana, Maryland, Mississippi, Montana, Nevada, New York, Pennsylvania, Texas, Utah, West Virginia and the District of Columbia. She is also one of the founders of the Colorado Business Group on Health. Want to know before you set foot in the dentists office? He holds Fellowships in the American Academy of Pediatric Dentistry, American College of Dentists, the International College of Dentists, and the Pierre Fauchard Academy, an international honor society. She is a member of the California Dental Association, Clinica Romero and the Harvard Club of Southern California. The primary methods by which the Board achieves this goal are: issuing licenses to eligible applicants; investigating complaints against licensees and disciplining licensees for violations of the Dental Practice Act; monitoring licensees whose licenses have been placed on probation; and managing the Diversion Program for licensees whose practice may be impaired due to abuse of dangerous drugs or alcohol. Refer to your benefit plan to determine whether preventive services are covered for you. CDA's FAQ and other resources can assist members now and keep them updated on the next steps. The Content cannot, and is not intended to, replace the relationship that you have with yourhealth careprofessionals. She received the Colgate Award for Research Excellence in 2018. The board of Delta Dental of California and its affiliates has named Sarah Chavarria president. Manager, Dental Assistant Strategy and University Relations. Dentists, registered dental assistants, and registered dental assistants in extended functions who have not received California licensure and wish to continue practicing, should view the website www.dbc.ca.gov, call (916) 263-2300, or email DentalBoard@dca.ca.gov for information on how to obtain licensure in California and/or temporary licensure options. I have dental insurance through my employer I purchase dental insurance on my own. In his final role in higher education Don served as the Chancellor for Colorado Technical Universitys Pueblo campus. Since 1955, Delta Dental of California has offered comprehensive, high-quality oral health care coverage to millions of enrollees and built the strongest network of dental providers in the country. For more information about Delta Dental of California, please visitwww.deltadentalins.com. Have a question about coverage or looking for dental insurance? Accomplished in delivering innovative solutions to complex business challenges while effectively collaborating with diverse stakeholders to design and implement market-leading business and technology strategies to maximize shareholder value. In 2018, CDA and Delta Dental of California reached a $65 million settlement agreement on behalf of Premier providers who had their fees reduced improperly by Delta Dentals inflationary adjustment percentage, resulting in payments ranging from $500 to many thousands of dollars for 14,000 dentists. Dental Offices: Phone: 844-825-8111 (24 hours automated) She went on to complete a Masters in Business Administration from Regis University in 2015. Sonia Molina, DMD, MPH Sonia Molina, DMD, MPH, of Los Angeles, was appointed to the Dental Board of California by Governor Gavin Newsom in October, 2020. Ms. Chavarrias direct reports are: In addition, Delta Dental announced Andrea Fegley has been promoted to senior vice president, legal affairs and deputy general counsel and Mike Manowski to senior vice president, chief technology officer. Delta Dental of New Mexico is a part of Delta Dental Plans Association. CDA believes that Delta Dental failed to adequately consider the basis for and impact of these changes and has failed to offer sufficient justification for these actions.. As acting CEO, Mr. Castro has managed the companys strategy and operations in close collaboration with Delta Dental of Californias Board of Directors and senior management team. Our Dental Care Cost Estimator tool provides estimated cost ranges for common dental care needs. Paul Rezich, DDS Vice President Rapid City. Chief Executive Officer at Delta Dental of California . As we look to make advancements and innovate as a dental benefits provider, we remain committed to being a trusted health partner and together with our customers and employees reimagining and delivering new possibilities for health and well-being.. Dr. Luther also spent five years with the American Dental Association, where he served as Senior Vice President overseeing the division of dental practice, and spent several years with Delta Dental of California. She has published over 30 peer-reviewed publications and has presented her research at several national and international conferences. The association is alleging that Delta Dental of California's board of directors violated its duty by failing to perform an "appropriate analysis of the need for and impact of the contract changes to Delta Dental's provider network and patients," it said. If you do not receive an email or a letter, and you want to complete the survey, please contact Melissa Storz at Melissa.Storz@dca.ca.gov or 916-574-7705. Please see https://www.treasurer.ca.gov/chffa/dental/sdcgp.asp for more information. Don Ortega currently serves as the Pueblo County Market President of Premier Members Credit Union. Have a question about coverage or looking for dental insurance? Over the past 65 years, we have built the strongest offering of oral health benefits in the industry, and we remain focused on growing our business and continuing to find innovative ways to provide access to care.. Additionally, she is a member of the American Dental Association, Colorado Dental Association, and a past president of the Boulder Broomfield County Dental Society. *Not sure where your company is headquartered? Alan Felsenfeld, MA, DDS, of Marina del Rey, was appointed to the Dental Board of California on February, 2020. Find the one that's right for you. Prior to joining the credit union industry, Don had the pleasure of working in higher education. Delta Dental of California 560 Mission Street, Suite 1300 San Francisco, CA 94105 888-282-8528 deltadentalins.com Administered by: Delta Dental Insurance Company P.O. 4. Box 1803 Alpharetta, GA 30023 800-422-4234 DeltaCare USA Plan CAM57 Combined Evidence of Coverage and Disclosure Form Dental HMO Program September 14, 2022 Contracts Dental benefit resources for CDA members In addition, she has a vast experience in provider contracting, having led the development of several managed care networks in the early 1990s. Box 1803 Alpharetta, GA 30023 888-282-8528 deltadentalins.com CoveredCA.com 800-300-1506 Delta Dental of California selected Chelsea Grayson and Heidi Yodowitz to serve on its board of directors. Connect with your Delta Dental company to learn more. Claims and process will be sharing additional details with CDA members about the legal action in the weeks to.! 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