(a) Section 11 of this chapter does not apply to access as described in section 11(a) of this chapter if granted by a contracting entity to:
- (1) a dental carrier or other entity operating in accordance with the same brand licensee program as the contracting entity;
- (2) an entity that is an affiliate of the contracting entity; or
- (3) a third party if the contracting entity is a dental carrier that retains responsibility for administering the dental plan in accordance with its applicable provider network contracts, including all fee schedules and processing policies.
- (b) For the purposes of this section, a contracting entity shall make a list of the contracting entity's affiliates available to providers on the contracting entity's website.
(c) Section 11 of this chapter does not apply to a provider network contract for dental services provided to beneficiaries of health programs established or maintained by local, state, or federal government, such as:
- (1) Medicaid established under Title XIX of the federal Social Security Act (42 U.S.C. 1396 et seq.);
- (2) the children's health insurance program established under Title XXI of the federal Social Security Act (42 U.S.C. 1397aa-1397mm); or
- (3) Medicare Advantage.
As added by P.L.17-2024, SEC.19.