States are required to provide dental benefits to children covered by Medicaid and the Children's Health Insurance Program (CHIP), but states choose whether to provide dental benefits for adults. Florida Medicaid wants to help keep children healthy. An oral health screening is part of an EPSDT screening done by a PCP. Bundled solutions can reduce costs and grow market share. Choose plan Find an in-network doctor from over 1,000 insurance plans Add your insurance to see in-network doctors See all (1000+) Add your insurance coverage Dentists nearby with great reviews Zocdoc only allows patients to write reviews if we can verify they have seen the provider. TennCare members should receive a welcome information packet in December from DentaQuest, TennCare's dental partner, that outlines how to find a dentist and get services. For more information, contact the Managed Care Plan. 44 verified reviews. A referral is when your PCP sends you to another provider for care. This site uses cookies and related technologies, as described in our privacy policy. Medical Policies and Clinical UM Guidelines, Guide to Drug Coverage Under Medical Benefit, Healthcare Effectiveness Data and Information Set (HEDIS), Screening, Brief Intervention and Referral to Treatment (SBIRT), Early and Periodic Screening, Diagnostic and Treatment, View the DentaQuest and Healthy Connections Dental Office Reference Manual, Log in to the DentaQuest Provider Web Portal. Providers should submit claims to DentaQuest for routine dental services for members under age 21 and preventive dental benefits for members 21 and older. Florida Medicaid Dental: Dental Care for Your Health https://ahca.myflorida.com/medicaid/Policy_and_Quality/Quality/clinical_quality_initiatives/oral_health/index.shtml. This site uses cookies and related technologies, as described in our privacy policy. The following table will help you to decide which plan pays for a service. Help for pharmacists: 1-833-236-6194. Telehealth is a great way to stay in touch with your PCP when you need care anytime. Child and adult anesthesia for emergency dental procedures while in the hospital. Vision benefits for Healthy Blue are provided by Superior Vision. Leaders from across the country recognized for bridging gaps and advancing equitable access to oral care, awarded with $60,000 in charitable contributions, myDentaQuest smartphone app launches in Texas to provide easy access to dental benefits for members, This article discusses the complex barriers that keep people from accessing oral health care and how to think differently about how we deliver it. Nancy Vazquez, DMD Dentist Fort Lauderdale, FL 5.00 ( 5 reviews) " Dr. Nancy was great! Need a Benefits Partner? Your Florida Medicaid Choice Counselor or the dental plan you pick can talk to you more about when to expect your dental ID card to come in the mail. Find out more about how we use your personal data in our privacy policy and cookie policy. www.DentaQuest.com 4.93 ( 76 reviews) " Lovely staff. The largest and most experienced Medicaid/CHIP dental benefits administrator in the nation: Give seniors what they want, dental benefits in addition to their medical coverage. "If the payment process and the approval process are smooth, we'll have more dentists taking it, and it seems like they're putting a lot of money into this program," Kuyrkendall said. Medicaid recipients in Florida can pick from three statewide dental plans:1. Very friendly and easy to talk to " Highly recommended Sydney Sher, DMD Dentist North Miami, FL 4.86 ( 178 reviews) I'll definitely go back! Ambulatory surgical center outpatient emergency dental services with prior authorization. Notice of Language Assistance and Non-discrimination, Copyright 2021 BlueCross BlueShield of South Carolina. Our Medicaid/CHIP dental benefits solutions effectively control program costs while increasing member access to care. After a claim is successfully submitted, funds will be deposited within3 business days. As the second largest national provider of dental benefits, we have a solution to meet your needs. For some services, youll need a referral from your primary care provider (PCP) before getting care. You can get more information about the providers in our health plan. Smith said during the hearing that TennCare leadership is exploring what additional new investments can be made under the federal waiver in the coming year, with a particular focus on efforts to improve maternal health and strengthen families. You can also search IHCP Provider Locator. . For example, our pregnant members who are 21 and older may be able to get extra dental services to help with a healthy pregnancy. Associated Press text, photo, graphic, audio and/or video material shall not be published, broadcast, rewritten for broadcast or publication or redistributed directly or indirectly in any medium. All you need is your smartphone, tablet or computer. Use our simple online search tool: Find A Dentist. can apply fluoride varnish to members who are at least 6 months of age, with at least one tooth eruption. Adult pregnant and postpartum enrollees will receive the same benefits and coverage as all adult members, as of January 1, 2023. Humana Inc. and its subsidiaries comply with all applicable federal civil rights laws and do not discriminate on the basis of race, color, national origin, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age, or disability. Our Medicaid/CHIP dental benefits solutions effectively control program costs while increasing member access to care. From credentialing, authorizations and claims processing, to network training and patient engagement, we are committed to driving value for your dental practice. heckups include dental cleaning and fluoride treatment to help ensure the long-term health of the childs teeth and gums. We have built a national oral health ecosystem committed to quality patient care, efficient processes and continuous improvement on the fundamentals to help your practice perform at its best. Watch the video to learn more about our mission. TennCare is Tennessee's Medicaid program and provides health care coverage to low-income pregnant women, parents or caretakers of minors, children, seniors and people with disabilities. 1-855-702-6262 Time-tested recruitment strategies and network support from local teams ensures your members have access to the right providers when and where they need care, from routine prevention to restorative treatments. This early visit is known as a well-baby checkup and establishes a Dental Home for future care. Anthem 888-291-3762 . If you do not want us and our partners to use cookies and personal data for these additional purposes, click 'Reject all'. Medicaid and Medicare dental benefits for adults over 65 are often limited, which means lower income adults and older adults get dental care less frequently than needed. DentaQuest Provider Services: (877) 468-5581, Recruitment: (855) 873-1283,[email protected], Non-Emergent Review & Referral Fax: (262) 241-7150 or (888) 313-2883. "It's just a terrible situation, so it's really exciting to see the state come in and provide dental care for people on TennCare.". If you do not want to leave our website, please click the X. Per informazioni in lingue alternative, seleziona il link del nome del piano appropriato qui di seguito. If you have problems with your teeth or gums, a dentist can diagnose and treat you. BlueChoice HealthPlan has contracted with Amerigroup Partnership Plan, LLC, an independent company, for services to support administration of Healthy Connections. Available Monday Friday, 7:00 a.m. 7:00 p.m. We encourage the use of telehealth for healthcare services when appropriate (not just those related to COVID-19). (NCQA) guidelines as the guidelines apply to dentistry. Select. Members do not need a referral for dental care and can see any dentist listed in the Provider Directory. Provider Steering (July 9, 2020) Dental Provider Bulletin (July 9, 2020) Informational Bulletin 20-11: Teledentistry during the COVID-19 Declared Emergency (April 22, 2020) DentaQuest. You also have coverage for x-rays. "Card 1 of 3: DentaQuest Announces 2023 Health Equity Heroes: Health Connectors, "Card 2 of 3: DentaQuest Introduces New Mobile App For Dental Members, "Card 3 of 3: Windward: A Better Way to Process Dental Claims, View card 1 of 3: DentaQuest Announces 2023 Health Equity Heroes: Health Connectors, View card 2 of 3: DentaQuest Introduces New Mobile App For Dental Members, View card 3 of 3: Windward: A Better Way to Process Dental Claims, Statewide Medicaid Dental Health Program - Adult Medicaid, Statewide Medicaid Dental Health Program - Child Medicaid, Statewide Medicaid Dental Health Program - Pregnant Adult, DentaQuest Marketplace EPO Pediatric High, FL AmeriHealth Caritas VIP Care (HMO D-SNP), Simply Healthcare Medicare Advantage Plans, Next, log in to, or register for the provider portal at. If you would like to customise your choices, click 'Manage privacy settings'. Neither these AP materials nor any portion thereof may be stored in a computer except for personal and noncommercial use. A $3.40 copay is required toward the cost of a members care per date of service. Weve invested millions of dollars and our best resources to build the infrastructure, systems and processes needed to master dental benefits management. Part of being healthy is oral health care. Some reasons to change a PCP and PDP are: If you or the member do not feel comfortable, If the office is far from you and the member. DentaQuest is an independent company that provides dental services on behalf of BlueChoice HealthPlan. Adult Dental Services To find a dentist visit the DentaQuest Web site, or you may call 1-888-286-2447 or TTY 1-800-466-7566. Find a dentist on DentaQuest, The Louisiana Department of Health (LDH) has selected DentaQuest and MCNA Dental Plans as its dental benefit program managers. You can change the members PDP/Dental Home at any time, for any reason. Dental services include comprehensive dental care through primary prevention, early intervention, diagnosis, medically necessary treatment and follow-up care. Para obtener informacin en idiomas distintos, seleccione el enlace del nombre del plan apropiado a continuacin. "I feel like they're making it a priority.". Copays are not required for emergency services. Adult dental care includes teeth cleaning and oral exam every six months and X-rays once a year. Type of plan*. Children with Medicaid in Florida get the following dental services at no cost: Some services require your dental plans permission. BlueChoice HealthPlan is an independent licensee of the Blue Cross and Blue Shield Association. You can obtain services from an IHCP whether or not theyre in our plan. American Indian and Alaskan Native Plans: If you are enrolling in a health insurance plan through the Health Insurance Marketplace (MNsure) and are looking for an Indian Health Service (IHS) Health Center. Arizona law states. From credentialing, authorizations and claims processing, to network training and patient engagement, we are committed to driving value for your dental practice and alleviating administrative hassle so you can focus on treating patients. This ID card will not come with your health plan member ID card. This link leads to a third-party website. As the largest government dental benefits administrator in the U.S., 30% of all Medicaid/CHIP enrollees are covered by DentaQuest. Watch the video to learn more about our mission. Learn More Important Documents and Links authenticate users, apply security measures, and prevent spam and abuse, and, display personalised ads and content based on interest profiles, measure the effectiveness of personalised ads and content, and, develop and improve our products and services. Dr. Abu was excellent. 4.84. We keep it simple. 800.621.8099. The purpose of the credentialing plan is to provide a general guide for the acceptance, discipline and termination of Participating Find A Dentist Dentaquest. Choose your plan*. Dental checkups include dental cleaning and fluoride treatment to help ensure the long-term health of the childs teeth and gums. Learn more Improving the oral health of all Good oral health is a human right. Use our provider directory to find providers, hospitals and more. Regular dental checkups should occur every 6 months following the first visit. LHO offers free, easy-to-access medical and behavioral healthcare. Illinois Providers:If you identify any required updates to provider demographics, please contact us at 262-241-4077 or by email to [email protected] Yes. Take a look under the hood of Windward, our proprietary claims adjudication system, to see how we keep your programs humming. Ms. Hope is awesome with accommodations " Highly recommended 1-855-878-1784 (TTY 711), Monday through Friday from 8 a.m. to 8 p.m. Make healthy happen wherever you go. Once enrolled in a plan, the plan itself can help you: Once you pick a dental plan, your dental plan will send you a dental ID card. Molina Healthcare covers one cleaning every six months. Need to find a new dentist? You will be redirected to the IHS.gov website and will be able to search for IHS, Tribal or Urban Indian Health Program. In fact, eligible Medicaid beneficiaries age 21 and older may receive a maximum $750 annual benefit in covered dental services. The SFC program is managed by Dentaquest. Connect with us on Facebook, opens in new window and our YouTube, opens in new window playlist. Good oral health is a human right. If your current PCP cant offer a telehealth visit, please visit LiveHealth Online (LHO). If you do not know what Plan to choose, please enter the Member's DOB & Member ID or Member's name in the section below in order to find the plan the Member participates in. Your remittance will be available online in the Provider Web Portal and no longer mailed to you. TennCare Director Stephen Smith said during recent budget hearings that roughly 600,000 low-income Tennesseans will gain dental coverage in 2023 as a result of the new benefits. 1:00. Search by Provider or Office. Visit the Superior Vision member website. For information in alternate languages, please select the appropriate plan name link below. AllMercy Care DCS CHPmembers must have a full well visit and a dental visit within the first 30 days of removal and placement in out-of-home care. Need more help? We are using providers through our dental provider, DentaQuest. To request a change or to notify Mercy Care DCS CHP of a change, you can call Member Services at 602-212-4983 or 1-833-711-0776 (TTY/TDD 711) Tooth decay can occur at any age including in the baby teeth, so it is important to start dental care at an early age and continue regularly. Dental Homes foster consistent, quality care and oral health connections in the local community that many members lack, setting them up for a lifetime of improved dental and overall health. DentaQuest provides TennCare dental benefits for children under age 21 only Find a dentist Vision care EyeQuest provides TennCare vision benefits for children under age 21 only Find an eye doctor