RFP_26_041-DJ_Appendix H_Dental DPPO Fee and UCR Schedule - draft.xlsx

This file is a draft fee and UCR (Usual, Customary, and Reasonable) schedule appendix for Florida's Multiple Option Dental Program (RFP 26-041-DJ). The document establishes the dental service fee structure and reimbursement rates that dental providers would accept as payment for services rendered to program beneficiaries. The schedule serves as a critical pricing mechanism for the dental program, detailing the allowable fees for various dental procedures and services that participating dental preferred provider organizations (DPPOs) must comply with under the contract terms.

The draft fee schedule outlines the reimbursement methodology and fee levels that dental providers must accept, ensuring cost predictability and program affordability while maintaining adequate network participation. As a draft document, this appendix represents work-in-progress pricing terms subject to refinement based on stakeholder feedback, actuarial analysis, and market conditions. The final fee and UCR schedule will be incorporated into the awarded contract and govern all dental service payments throughout the program's term, making it essential for prospective bidders to review and understand the financial implications of these proposed rates when preparing proposals.