By NextBestFitTask 1.3.3 of 8
Add claim types: dental (ADA CDT codes), vision, hearing, and home- and community-based services.
Who does it
UHA / MACs
When
Month 3–15
Trade-off
Adding dental and vision claim types extends coverage but requires new coding standards most Medicare contractors haven't processed.
Part of: Build the claims, payment & data systems
Scale Medicare's existing fee-for-service claims infrastructure from about 1.3 billion to about 5 billion claims a year, add hospital global-budget payments, dental and vision claim types, and a national real-time eligibility check.
This step changes 2 existing laws, programs, or institutions. See the list.