OIG Approves Free Orthodontic Treatment Program for Pediatric Dental Providers
On May 1, 2026, the OIG issued Advisory Opinion 26-09 approving a pediatric dental and orthodontic provider's proposal to offer free orthodontic treatment to one patient per year at each of its three practice locations. The opinion addresses fraud and abuse risks under the Anti-Kickback Statute and Civil Monetary Penalties Law when providers offer complimentary services. The guidance is particularly relevant for dental providers serving Medicaid beneficiaries, as it clarifies permissible arrangements for charitable care without triggering federal enforcement concerns.
Dental MCOs and their contracted providers must ensure charitable care programs comply with federal fraud and abuse laws, particularly when treating Medicaid-enrolled children who may generate capitated or fee-for-service revenue.
Dental · Managed Care
You might also like