Dental Monitoring Committee

Note to Members Using the Dental Monitoring Committee

It has come to the attention of the Executive Committee that a large number of our members are not aware of the workings of the Dental Monitoring Committee. As such, I have been asked to provide a briefing to you on the objective of the DMC and how to avail of its services.

The DMC is a negotiated item and is part of the Children’s Dental Plan Memorandum of Agreement. The Terms of Reference were debated and agreed upon by both the NLDA and the Government of Newfoundland and Labrador.

The DMC is a very important part of the Children’s Dental Program and the Adult Dental Program as it is intended to assist both negotiated programs reach their objective. The Government of Newfoundland and Labrador and the NLDA have worked to provide access to care for those who have the need. While the SDHP, CDHP and the ADHP all focused on conventional cases, not every case can be predicted or planned for. It is the latter which fall to the DMC to adjudicate as these do not fall specifically within the above negotiated programs.

The DMC is not focused on one type of procedure or group of procedures. It is open to all members for all Dental procedures. They recommend coverage on a case-by-case basis if the submitted documents provide merit to such coverage. You may submit any case to the DMC; however, be aware that coverage will be based on factors such as the need for the dental procedure, health and social wellbeing. Also, financial barriers will play a major role in the DMC’s decision.

If you ask: what do I submit to the DMC? I would suggest that you treat it like a submission for a pre-authorization with an insurance company. The treatment plan needs to be complete and precise. If x-rays are included, make sure they are readable. But most of all, answer the question “why should this case receive coverage above the other cases out there which don’t fit the given programs; what is special about this one” and make sure you give a full and complete explanation.

By the Terms of Reference, the DMC will meet quarterly. The meeting schedule is as follows:

  • December 1st, 2018
  • March 1st, 2018
  • June 1st, 2018
  • September 1st, 2018

    Cases that are received before the meeting date will be reviewed and a response sent back to the referring Dentist in a reasonable period of time.

    Your case submission and supporting documents are to be sent to:

    The Dental Monitoring Committee
    C/O Dr. Edward Williams
    Newfoundland and Labrador MCP
    P.O. Box 8700
    45 Major’s Path
    St. John’s NL
    A1B 4J6

    It is very important for us to recognize that the coverage recommended by the DMC is part of the overall Provincial Dental Program and not extra allocation. We remember what happened to the adult dental and we do not wish to have the Children or the new Adult program to go there.

    Your Association has set up a link on our website with a tab outlining the DMC, its purpose, terms of reference, meeting schedule and any notes the DMC wish to pass on.

    If you have any questions, feel free to call the office.

    Anthony Patey,
    Executive Director


    Newfoundland and Labrador Dental Association
    1 Centennial Street
    Suite 102
    Mount Pearl, NL
    A1N 0C9
    Fax: 709 579-1250
    Email: nfdental@nfld.net