Canadian Dental Care Plan Updates
/1712781053044.png.aspx "Dental Care Image")
The College will update this page accordingly with resources and information regarding the Canadian Dental Care Plan.
November 1, 2024 - CDCP Update - Expanded Services, Paper Claims
Today the Canadian Dental Care Plan (CDCP) will expand to include more services for people covered under the plan, while enabling even more oral health providers across the country to provide care.
- Starting November 1, 2024, the CDCP will begin accepting paper claim submissions for services covered under the CDCP;
- Additionally, the CDCP will begin accepting requests for services that require preauthorization such as initial placement of partial dentures, or crowns.
To learn about the conditions and the supporting documentation required for preauthorization requests oral health providers are invited to read the updated CDCP Dental Benefits Guide: https://ow.ly/C3zI50TWHEF
October 16, 2024 - CDCP Benefits Guide Updated & Preauthorization Technical Briefing Sessions
The CDCP Dental Benefits Guide was updated on October 7, 2024:
The CDCP Dental Benefits Guide provides the terms and conditions, criteria, guidelines and policies under which the CDCP covers dental services for eligible clients. It has been updated to provide information on the supporting documentation necessary for services that will always require preauthorization along with requests for services above frequency limits, as well as additional clarifications based on input received to date.
Please review the CDCP Dental Benefits Grids for a list of services always requiring preauthorization in advance of these services becoming available on November 1, 2024.
In preparation for preauthorization coming into effect, Health Canada and Sun Life will be hosting technical briefing sessions to allow providers and their staff to have the information they need. These technical briefings will provide an overview of the process for submitting a request for services that require preauthorization as well as the paper claims process.
To ensure maximum participation and to provide flexibility in dates and times, several technical briefings will be offered, per below.
Please note that the same information will be shared at each of these sessions. These technical briefings will be held on Zoom. As such, please ensure the Zoom application is downloaded prior to the start of the technical briefing or join via your web browser.
September 3, 2024 - CDCP Program Statistics Published
Program statistics including number of eligible Canadians, participating oral health care providers, and eligible Canadians who received care are now published.
July 8, 2024 - Direct Billing to Sunlife Now Available
As of July 8, 2024, oral health providers are now able to direct bill Sun Life for services provided on a claim-by-claim basis without formally signing up for the CDCP.
This means patients of CDCP can see any oral health care provider as long as the provider agrees to direct bill Sun Life for services provided under the plan.
June 11, 2024 - Providing Services on a Claim by Claim Basis
As of July 8, 2024, oral health providers will be able to direct bill Sun Life for services provided on a claim-by-claim basis without formally signing up for the CDCP.
This will make it easier for providers to treat patients and submit CDCP claims to Sun Life for direct reimbursement, whether or not they choose to formally participate. This also means that CDCP clients can see any oral health provider they choose for their care, as long as the provider agrees to direct bill Sun Life for services provided under the plan.
CDCP clients will be responsible for paying any potential remaining amounts directly to their provider. Sun Life will never reimburse a CDCP patient and will only reimburse providers for services covered under the CDCP.
In all cases, by submitting a CDCP claim and accepting payment, providers agree to the terms of the CDCP, either on a claim-by-claim basis or through their formal participation agreement with Sun Life.
Before providing care to CDCP patients, providers will still need to:
- confirm patient eligibility for the CDCP through their existing patient intake process
- confirm the patient is covered for select services
- submit a claim with assignment of benefits (non-assigned claims will be rejected)
June 10, 2024 - Additional Coverage Starting June 27
Starting June 27, applications for the Canadian Dental Care Plan will open for children under 18 and for people 18-64 year old with a valid Disability Tax Credit.
May 2, 2024 - CDCP will be Primary Payer for all Ontario Dental Programs & New Coordination of Benefits Fact Sheets
The Government of Canada has announced that the CDCP will be the primary payer for all Ontario dental programs (including Healthy Smiles and ODSP) and have released fact sheets for how coordination of benefits may work for each individual provinces.
- Click here to access the information fact sheets. Ensure you choose the right fact sheet for Ontario.
April 17, 2024 - Open Letter to Oral Health Providers from the Government of Canada
The Government of Canada released an open letter today addressed to oral health providers regarding the CDCP.
- Click here for the letter from the Government of Canada.
- Click here to learn how Denturists can participate in the CDCP.
- Click here for the full 2024 CDCP dental benefit grids.
February 23, 2024 - Information Session Slides and Resources Released.
The Government of Canada has shared the following resources:
We encourage you to review the presentation slides as it contains important information regarding your potential participation, processing payments, and your responsibilities.
If you have specific questions regarding this plan including registration and fee structure, please reach out to your respective Denturism Associations who are in the best position to answer your questions. The College's role is to pass on any relevant information or resources provided by the Government of Canada to us.