Referral for Advanced Mandatory Services

Change Requested by: Department of Health, Welsh Government and Isle of Man Government
Overview of Change: Dentists referring patients for advanced mandatory services (AMS) will receive UDAs appropriate only for the treatment they provide prior to referring the patient rather than UDAs based on the full course of treatment including the AMS treatment.

The patient charge will continue to be collected by the referring dentist for the whole course of treatment.
Details of Change: If a patient is referred for advanced mandatory services the Performer currently submits the FP17 with a tick against code 9316 and completes the treatment band for the whole course of treatment (including treatment to be provided under referral for AMS) against code 9150 (treatment band).

With effect from 1 April 2014, the referral for AMS, code 9316 will be withdrawn and replaced with code 9319. Code 9319 will still indicate that the patient is being referred for AMS, and will also be accompanied by a treatment band 1, 2 or 3. The accompanying band will indicate the band of the treatment to be provided under AMS.

The treatment provided by the referring Performer will be indicated against code 9150, so the Performer will only receive UDAs for treatment they actually provide.

The patient charge will be calculated based on the greater band associated with codes 9319 or 9150, and this will continue to be collected by the referring Performer.

Isle of Man Government is still to confirm that this change will be introduced for 1 April 2014.

This CCN does not change the process of submitting FP17s for the Performer providing AMS.
Reason for Change:

This was a requirement of the 2013/2014DDRB uplift.
Implication of Change:

Changes to the calculation of patient charge, with the charge being calculated on the greater band associated with code 9150 or 9319.

Changes to the UDAs allocated to the dentist referring the patient for AMS – the referring dentist will now only receive UDAs for treatment they actually provide, rather than for the treatment provided under AMS.

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