National Framework Agreement for Dental Activities 2026-2028

The National Framework Agreement No. RD-NS-01-00-5, signed on September 16, 2026, sets the framework for dental activities to be conducted between the National Health Insurance Fund (NHIF) and the Bulgarian Dental Association (BDA) for the period 2026-2028. This agreement replaces the previous one for 2023-2025, establishing new rules and procedures in the dental service sector.

What changes

The agreement introduces financing and control rules for dental services, specifies the roles of NHIF and BDA, and establishes conditions for contracting dental care providers. It outlines spending structures and methods for evaluating dental activities.

Who is affected

The National Framework Agreement affects NHIF, BDA, dental care providers, insured individuals, and regulatory bodies. It defines and regulates the relationships among these participants, including procedures for contracting, conditions for providing dental care, and rights and obligations of the parties.

Dates and deadlines

The agreement takes effect on September 25, 2026. Specific application dates for certain clauses require further verification. For example, Article 89, paragraph 2 should take effect from October 1, 2026, and Article 105 from September 1, 2026.

Practical next steps

Ensuring compliance with new contract requirements, staying informed about new procedures and evaluation criteria for dental care, and ensuring alignment with new regulations are the main actions needed. NHIF and BDA must cooperate for ongoing monitoring and evaluation of costs and services.

What to check for your situation

This agreement doesn't create new obligations for all businesses but requires compliance from participants involved in providing dental care. Additionally, the agreement applies only within the regulated conditions and volumes specified.