Executive Summary
Following the 2023 budget proposal to implement the new Canadian Dental Care Plan (CDCP) to provide dental coverage for uninsured Canadians, the CDCP will:
· provide Canadians the ability to apply and be considered access to the CDCP for their oral heath needs,
· seek help and guidance on eligibility, how to apply and information on the program, and
· maintain or renew their status throughout the year.
This business case details the CDCP business need, business context, background, options analysis, evaluation criteria, and solution scope to deliver the solution project.
Business Context Diagram Description
Budget 2023 proposes providing $13 billion over five years, starting in 2023-24, and $4.4 billion ongoing, to Health Canada (HC) to implement the new Canadian Dental Care Plan (CDCP). The CDCP will provide dental coverage for uninsured Canadians with an annual family income of less than $90,000, with no co-pays for those with family incomes under $70,000.
It is estimated that approximately 9 million Canadians will be eligible for the CDCP. (Family income <$90k, resident of Canada, no access to a comparable dental insurance plan). The CDCP will be an insurance program delivered via a third-party benefits administrator (TPA). The CDCP will be launched in phases, starting with a targeted eligible population of seniors, people with disabilities, and people under 18 (totaling 4.7M) in 2024. Seniors and persons with disabilities should be prioritized for coverage as of April 1, 2024. In addition, children under 12* must be enrolled and be able to access dental coverage under the Canada Dental Care Plan as of July 1, 2024. (given that the existing interim dental benefit for children under 12 ends July 1, 2024). Full program eligibility for all families within an income less than $90,000 and who do not have access dental care through an employer, pension or private plan will start January 2025.
ESDC/Service Canada (SC) is entering in a partnership agreement to deliver services on behalf of HC to Canadians as the plan starts up and on an ongoing basis.
HC is the lead for program implementation and works in collaboration with ESDC/Service Canada and partners on this implementation. This business case encompasses the CDCP service delivery implementation project that will deliver the required capabilities to intake CDCP applications, process applications and determine eligibility, communicate the decision to applicants and provide client support in the Service Canada network. The capabilities will support delivery of the following target client experience and flow: <May 4, 2023 Service Delivery Process Flow Diagram (A-to-H)>