Section 1557 of the Affordable Care Act. American Dental Association

is in the best position to determine which of its publications and communications are significant. However, in discussing this requirement OCR has referred generally to:

      • Documents intended for the public, such as outreach, education, and marketing materials

      • Written notices requiring a response from an individual and written notices to an individual, such as those pertaining to rights and benefits

      • Consent and complaint forms, written notices of eligibility criteria, rights, denial, loss, or decreases in benefits or services, and applications to participate in a program or activity or to receive benefits or services

      • Announcements, bulletins, catalogs, or application forms

      If a significant publication or communication is small-sized, such as a postcard or tri-fold brochure, you may post:

      • Taglines in the top two languages in your state, instead of the top 15

      • An abbreviated Statement of Nondiscrimination instead of the full Notice of Nondiscrimination