COVID-19 update: Delta Dental of South Dakota is adjusting operations to support public health efforts to reduce exposure risk. Learn more.

Pandemic financial support programs

DDSD is creating two financial support programs to help our participating dentists through the unprecedented disruption in providing dental care.

Details of the Reimbursement Advance Program and application form were issued on Tues., March 31, 2020 and are provided below.

More information about the interest-free Loan Assistance Program will be provided by Mon., April 20, 2020.

Reimbursement Advance Program

The Reimbursement Advance Program is intended to provide dental practices a cash flow to help cover the operating expenses of the practice. This program is voluntary, and all interested practices will need to apply.

Overview

  • Reimbursement advance is available for April and May, 2020.
  • Solo practices can receive $10,000 per month for a total of $20,000.
  • Group practices can receive $20,000 per month for a total of $40,000.
  • Advance payments will be recovered by Delta Dental of South Dakota in twenty (20) equal payments starting with the June 10, 2020 check run and continue through December 20, 2020.
  • Any advance payments not collected by December 20 will be subject to a final settlement on December 31, 2020.
  • The monthly advances will be in addition to any ongoing reimbursement payments, such as claims payments for emergency care.

Application and payment timeline

  • A single application is needed to participate in the program for both months.
  • Applications received and approved on or before April 10, 2020 will receive the April advance payment on or around April 15, 2020.
  • Applications received and approved between April 11 – April 25, 2020 will receive the April advance on or around April 30, 2020. 
  • Applications received and approved after April 25, 2020 will receive only the May advance on or around May 15, 2020.
  • All May advance payments will be received on or around May 15, 2020.
  • All payments will be made using Electronic Funds Transfer (EFT). If your practice does not currently receive claims payments from DDSD using EFT, the practice must enroll with a DDSD Direct Deposit Enrollment Form, available in paper or online enrollment form.
  • If your practice currently receives claims payments from DDSD using EFT, payments will be sent to the EFT information on file.
  • DDSD will notify practices of application approval using the email listed on the application.

Recovery process

  • Starting with the June 10 check run, $1,000 or $2,000 per check run will be deducted from the claims payments for participating solo practices and group practices respectively.
  • If the practice recovery designee(s) have less than $1,000 (solo practice) and less than $2,000 (group practice) in claims payments during one or more check run during the recovery time period, DDSD will deduct the entire claim amount and the remainder will be totaled for the final settlement on December 31, 2020.
  • Dental practices may submit a check with complete repayment at any time during the repayment period.

Qualifications

  • The dental practice must be following the CDC and ADA recommendations to suspend procedures except for emergency care.
  • Dental practices must be DDSD network participating practices. 
  • A limit of one (1) application will be accepted from each Business Tax ID Number (TIN).
  • All dentists associated with the application must be listed on the application.
  • Dentists associated with more than one TIN can only be listed on one application. 
  • Group practices must designate one or two dentists from whom DDSD will recover the advance claims payments beginning June 10.
  • The dental practice must be a private entity. Applications will not be accepted from Community Health Center or Indian Health Service dental offices.
  • Dental practices must be located in South Dakota and the majority owner(s) must have an active South Dakota license from the SD Board of Dentistry. 
  • If a dental practice has a change in ownership or TIN number at any time during the repayment period, the remaining payments will be assigned to the new business unless otherwise arranged.  

How to apply

Applying is easy in 2 simple steps. DDSD will notify practices of application approval using the email listed on the application.

Step 1
Complete the 1-page application form in its entirety, and sign it.

Step 2
Submit the signed, completed application using one of the following methods:

Fax

605-494-2566

Mail

Delta Dental of SD
Attn: Reimbursement Advance Application
PO Box 1157
Pierre, SD 57501

Enroll in EFT

Pandemic financial support is provided only through Electronic Funds Transfer (EFT). It's available free to Delta Dental participating dentists. Enrolling is possible by either paper or electronic form.

Questions?

Contact us

Phone

 

March 24, 2020
 

A message from Scott Jones
 

Dear DDSD Participating Dentists,

First and foremost, we hope that you, your families, your staff, and your patients are staying healthy during this time of uncertainty and change. COVID-19 is impacting nearly every aspect of our lives, and we understand that the ADA recommendation to limit services to emergency treatment will likely result in significant financial strain, especially for the next two months.

With that in mind, the DDSD Board of Directors approved two programs to provide financial support to DDSD participating dentists’ practices.  Dentists’ practices may participate in both programs.

  • The DDSD Reimbursement Advance Program will advance up to $8 million total of future clinical reimbursement payments to dental practices in April and May. The program is intended to provide dental practices a cash flow to help cover the operating expenses of the practice. These advance claims payments will be recovered by DDSD starting this summer as practices return to a more normal work schedule. The program is voluntary, and all interested practices will need to apply.

Advance amounts will equal $10,000 per month for solo practices and $20,000 per month for practices with more than one dentist. The monthly advances will be in addition to any ongoing reimbursement payments, such as claim payments for emergency care. Total advances will be up to $20,000 for solo practices or $40,000 for practices with more than one dentist. The advances will be recovered by DDSD in twenty equal payments starting with the June 10 check run and continue through December 20, 2020. Any unrecovered payments at that time will be subject to a final settlement on December 31, 2020.

Additional details on the Reimbursement Advance Program, including how to apply and the timeline for April and May payments will be provided no later than Tuesday, March 31.

  • The DDSD Loan Assistance Program will provide up to $1 million total of interest free loans to dental practices that do not have a sufficiently strong financial position to sustain the practice and its team through the recommended COVID-19 practice restrictions.

This program will provide zero interest loans of up to $20,000 per practice, repayable by July 1, 2021, with the opportunity to have a portion of the loan forgiven for maintaining or increasing access to care for Medicaid recipients.

Additional details on the Loan Assistance Program, including program guidelines and application process, will be available by April 20, 2020, with loan distribution available in May.

Updated information will be provided to you as soon as possible in future communications by email and on this special financial support webpage.

We have had to adjust our operations because of the pandemic, and ask your patience as we develop these programs. Our contact center will not yet have additional detail to provide, but immediate questions can be emailed to financialsupport@deltadentalsd.com.

All of us at Delta Dental of South Dakota are committed to be your partners to achieve our mission of better oral health for all South Dakotans.

Sincerely,

Scott Jones
President and CEO
Delta Dental of South Dakota