Ottawa – This guide provides information on the Canadian Dental Care Plan (CDCP) and its policies relevant to oral health providers and clients. It explains the scope of the CDCP’s coverage for oral health care services by describing the important elements of each associated policy.
This guide outlines the CDCP’s coverage at maturity. Services not requiring preauthorization and which are submitted electronically are available for eligible CDCP clients. Services requiring preauthorization can be requested beginning November 1, 2024. Limited orthodontic services for eligible clients can be requested beginning in 2025 (date to be determined).
Updates to CDCP Dental Benefits Guide
The CDCP Dental Benefits Guide was updated from the version dated May 2024, but the CDCP basket of services has not changed. Key changes to the Guide include:
- Addition of information about preauthorization policies, including documentation requirements, the process to submit preauthorization requests; post-determination and how to seek reconsideration of denied preauthorization requests found under section 5.
- Clarifications such as frequency limitation dates are based on rolling period; partial dentures considered a replacement if replacing a partial denture covered by the CDCP; participation of oral health educational institutions, etc.
- Changes to the numbering as a result of new sections (For example, services covered by the CDCP was formerly section 5 but is now section 6).