R 281634Z JUL 09 ALCOAST 438/09 COMDTNOTE 6120 SUBJ: ACTIVE DUTY DENTAL PROGRAM (ADDP) IMPLEMENTATION A. COMDT COGARD WASHINGTON DC 241529Z JUN 09/ALCOAST 370/09 1. THE ADDP PROGRAM WILL BEGIN ON 01 AUGUST 2009. 2. ELIGIBILITY - A. COAST GUARD (CG) ACTIVE DUTY (AD) MEMBERS AND SELECTED RESERVE (SELRES) MEMBERS (ON ORDERS FOR 31 DAYS OR MORE) WHO ARE NOT LOCATED NEAR A CG OR DEPARTMENT OF DEFENSE (DOD) DENTAL TREATMENT FACILITY (DTF). B. CG AD MEMBERS AND SELRES MEMBERS (ON ORDERS FOR 31 DAYS OR MORE) WHO RECEIVE ROUTINE DENTAL CARE AT A CG OR DOD DTF WHO ARE REFERRED TO A CIVILIAN DENTIST FOR SPECIALTY CARE. 3. ALL NON-EMERGENCY DENTAL TREATMENT PROVIDED BY CIVILIAN DENTISTS AFTER 01 AUGUST 2009 MUST BE COMPLETED BY AN UNITED CONCORDIA COMPANIES INCORPORATED (UCCI) NETWORK PROVIDER. OTHERWISE, THE AD OR SELRES MEMBER MAY BE RESPONSIBLE FOR PAYMENT TO A NON-NETWORK PROVIDER FOR UNAUTHORIZED DENTAL CARE. ELIGIBLE AD OR SELRES MEMBERS WILL NO LONGER USE THE HEALTH, SAFETY, AND WORK- LIFE (HSWL) SUPPORT ACTIVITY (SUPACT) FOR CIVILIAN DENTAL CARE AUTHORIZATIONS AND BILL PAYMENTS. 4. ROUTINE DENTAL CLEANINGS, EXAMINATIONS AND TREATMENT WILL BE FULLY COVERED BY THE ADDP. COMPLEX/SPECIALTY DENTAL CARE REQUIRES PREAUTHORIZATION THAT MUST BE OBTAINED BY THE UCCI PARTICIPATING DENTIST. TO AVOID BEING RESPONSIBLE FOR THE COST OF DENTAL TREATMENT, MEMBERS SHALL NOT INITIATE DENTAL CARE REQUIRING PREAUTHORIZATION WITHOUT PROPER WRITTEN AUTHORIZATION. 5. MEMBERS WHO RECEIVE ROUTINE DENTAL CARE FROM A CG OR DOD DTF AND ARE REFERRED TO A CIVILIAN DENTIST FOR SPECIALTY CARE WILL ALSO RECEIVE DENTAL CARE FROM UCCI NETWORK DENTISTS. HOWEVER, THE DTF WILL COORDINATE THE REFERRAL AND AUTHORIZATION FOR THE MEMBER. 6. EMERGENCY DENTAL CARE FOR MEMBERS MAY BE OBTAINED FROM ANY CIVILIAN DENTIST IF THEIR PARTICIPATING DENTIST IS NOT AVAILABLE. HOWEVER, FOLLOW-UP CARE WITH A NON-NETWORK DENTIST IS NOT AUTHORIZED. EMERGENCY DENTAL CARE INCLUDES TREATMENT NECESSARY TO RELIEVE SEVERE PAIN, TREAT INFECTION, OR CONTROL BLEEDING. ROOT CANAL TREATMENT MAY BE NEEDED TO RELIEVE PAIN AND INFECTION, AND IS CONSIDERED EMERGENCY DENTAL CARE. PERMANENT FILLINGS, CROWNS, BRIDGES, AND DENTURE SERVICES ARE NOT CONSIDERED EMERGENCY DENTAL CARE AND THEREFORE ARE NOT COVERED UNDER EMERGENCY CARE. MEMBERS WHO ELECT TO RECEIVE NON-COVERED SERVICES AS PART OF AN EPISODE OF EMERGENCY DENTAL CARE ARE RESPONSIBLE FOR PAYMENT OF THOSE ADDITIONAL SERVICES. IT IS RECOMMENDED THAT THE MEMBER USE A UCCI NETWORK DENTIST FOR EMERGENCY DENTAL CARE WHENEVER POSSIBLE. 7. ELIGIBLE AD AND SELRES MEMBERS MUST FAMILIARIZE THEMSELVES WITH THE ADDP BY REVIEWING THE INFORMATION AVAILABLE ON THE UCCI WEBSITE: WWW.ADDP-UCCI.COM. ADDITIONALLY, MEMBERS STATIONED AT REMOTE UNITS WILL BE MAILED INFORMATION REGARDING THE ADDP. CONTACT UCCI AT 1-866-984-2337 IF MAILING IS NOT RECEIVED BY 17 AUGUST 2009 8. FOR ADDITIONAL INFORMATION - A. CONTACT YOUR COGNIZANT HEALTH SERVICES TECHNICIAN, CG DTF, OR HSWL SUPACT B. CONTACT UCCI AT 1-866-984-ADDP (2337) C. VISIT THE UCCI WEBSITE AT WWW.ADDP-UCCI.COM D. VISIT THE CG OPERATIONAL MEDICINE WEBSITE AT HTTP://WWW.USCG.MIL/HQ/CG1/CG112/CG1121/ (SELECT INDIVIDUAL READINESS, SELECT DENTAL READINESS, SELECT THE APPROPRIATE ADDP POWER POINT). 9. FOR QUESTIONS REGARDING THE ADDP, CONTACT CAPT HSIAO PENG, HSWL SUPACT, AT 510-637-1229, HSIAO.P.PENG(AT)USCG.MIL OR CAPT DONALD BELCHER, COMDT (CG-1122), PROGRAM MANAGER, AT 202-475-5180, DONALD.C.BELCHER(AT)USCG.MIL. 10. RADM MARK J. TEDESCO, DIRECTOR OF HEALTH, SAFETY AND WORK-LIFE SENDS. 11. INTERNET RELEASE AUTHORIZED.