dentaquest tennessee providers

To request a provider directory, please contact the dental member service number located on your Member ID How can I get health care if I don't qualify for TennCare? Resources are available for general use to help raise awareness around available benefits. Technology and operations executive brings digital transformation expertise to leading financial services company. PROVIDER SERVICES: TennCare: 855-418-1623 Employment and Community First CHOICES: 855-418-1623 CoverKids: 888-291-3766 Amerigroup Medicare Advantage: 800-341-8478 Cigna-HealthSpring Medicare Advantage: 888-554-5542 Clover Medicare Advantage: 888-554-5542 Dental Care Plus (DentaSpan/DentaTrust): 888-554-5542 DentaQuest Exchange (HIX): 844-876-3978 DentaQuest Contributes $115,000 to Support Free Pop-Up Dental Clinics Across the U.S. Medicare Advantage Can Close the Gap For Dental Plans For Veterans, DentaQuest Expands Access to Oral Health Care for Floridians in 3 Dental Deserts With Its Affiliated Organization, Advantage Dental+, Improving Access to Dental Health Care Through Case Management, DentaQuests Roxanne Martinez Recognized By Nations Largest Professional Hispanic Membership Association, Hispanic Heritage Month A Conversation with Dr. Bertha Alarcon, DentaQuest Recommended as Preferred Vendor by the Association for Community Affiliated Plans, Increasing Diversity in the Dental Field is Key to Solving Our Workforce Crisis, DentaQuest Donates $500,000 to Support Hurricane Ian Relief Efforts in Florida, Why Oral Health was a Focus at the Black Maternal Health Conference, DentaQuest and TeamSmile Launch New Dental Home Project, DentaQuest Selected by Partners Health Plan to Administer Dental Benefits for Individuals with Intellectual and/or Developmental Disabilities in New York, Tips Any Dentist Can Use When Caring for Patients With Intellectual And Developmental Disabilities, DentaQuests Steve Pollock and Susan Pollock Honored by the Massachusetts Association of Mental Health, Executive Spotlight: Kamila Chytil Adjusting Leadership Styles to Fit Todays Workforce, All you need is an open mind. A Dental Students Vision for I/DD Inclusive Dentistry, Health Equity Hero: Dr. Mary Martin and Smiles for Success, It Made My Heart Go Light Expanding Care for Adults with I/DD in Louisiana, Health Equity Hero: Louisiana Representative Rhonda Butler, Oral Health Tips for Patients with I/DD and Their Caregivers, Health Equity Hero: Dr. Alex Barrera Sets a New Standard for Inclusive Dentistry, Share Your Why - DentaQuest Customer Service with Jesus Jimenez, Health Equity Hero: Lori LaPorte and Oral Health in Substance Use Disorder Recovery, The Hero Behind DentaQuests Health Equity Heroes, DentaQuest Opens Nominations for 2022 Health Equity Heroes, DentaQuest Announces 2022 Health Equity Heroes: Disruptors in Health Systems, DentaQuest Applauds Virginia Medicaid Dental Fee Increase, DentaQuest and Presbyterian Health Plan Celebrate 25 Years of Partnership, How the DentaQuest Community Celebrates Pride, DentaQuests Chief Operations and Chief Human Resources Officers Named to Diversity Journals 2022 Women Worth Watching In Leadership, Share Your Why - DentaQuest's Case Management With Gonzalo Perez, Provider Perspective: Oral Health Care Tips For Treating Senior Patients, Sun Life Completes Acquisition of DentaQuest, Improving Dental and Mental Health Through Case Management, DentaQuests Hyon Leon Named to Profiles in Diversity Journals 2022 Asian Leaders Worth Watching, DentaQuests Brian Jones Named to TeamSmile Board of Directors, Understanding the Basics of Oral Cancer Prevention, Improve Patient Communications With Motivational Interviewing, Maternal Mortality: Making Strides Expanding Health Coverage, Nutrition and Oral Health Why You Should Assess Your Diet this National Nutrition Month, A Member Advocate Specialist Steps Up to Help a Community in Crisis, DentaQuest Statement on New Federal Report: Inclusion of Adult Dental Benefits for People with Intellectual and Developmental Disabilities Saves States Money, Statement from DentaQuest On International Womens Day Supports And Recognizes Women at DentaQuest And In The Oral Health Care Industry, Recognizing Women Dental Leaders for International Womens Day and National Dentists Day, DentaQuest Supports Safety Net Externships with $25,000 donation to WesternU College of Dental Medicine, Prioritizing Preventive Care: A Conversation With TennCare Providers, Recognizing Dentistry Leaders: Four Black Dentists Who Broke Barriers, Sealants Make Sense Not Just During Childrens Dental Health Month, DentaQuest to Continue Management of Oral Care for Florida Healthy Kids Enrollees Under New Contract, DentaQuest Earns URAC Dental Plan Accreditation, DentaQuest Earns 95/100 in Human Rights Campaign Foundations 2022 Corporate Equality Index, DentaQuests Steven Barefoot Presenting at 2021 New York Health Plan Association Annual Conference, The Dental Care Plus Group Appoints New Senior Leadership, DentaQuest Named a Great Place to Work-Certified Company. The newsletter designed for anyone who wants to improve oral health for themselves, their families, customers or communities. DentaQuest dental providers must submit a prior authorization request for all treatment they are planning to render. Do you have questions about dental benefits not answered here? Portal access, network information and enrollment can vary by state. Complete the DentaQuest provider enrollment form to start the process of joining our network. You can find that on the front of your Member ID card. Watch the video to learn more about our mission. Statement from DentaQuest Executive Vice President and Chief Human Resources Officer Roxanne Martinez. That's important to help protect your teeth, gums and whole body. DentaQuest is rooted in outcomes-based, cost-effective dental solutions to increase access to care for a variety of populations. Award continues DentaQuests longstanding partnership with Virginia Department of Medical Assistance Services to improve oral health outcomes statewide for children and adults, NCQA grants accreditations through voluntary assessments governed by the industrys strictest quality standards, Recent partnership with Virginia Health Care Foundation encourages more providers to join safety net dental practices across the state. We have built a national oral health ecosystem committed to quality patient care, efficient processes and continuous improvement on the fundamentals to help . Non-Traditional Oral Screening and Fluoride Varnish (NTFV) in the Medical Home Program. Partnership commemorated with $35,000 in contributions to Casa De Peregrinos, New Mexico Mission of Mercy and Hermits Peak Wildfire Relief Fund. Company highlighted in three key categories: dental, vision, and health plan and third-party administration. Please educate your patients on the importance of dental sealants. DentaQuest is proud to announce it has earned full URAC Dental Plan Accreditation. Adult enrollees will be able to see a dentist at no cost to them for all medically necessary, covered dental services, which consist of regular exams, x-rays, cleanings, fillings, crowns, and more. Contact Member Services. Your coverage depends on your age and benefit level. You will be redirected to the IHS.gov website and will be able to search for IHS, Tribal or Urban Indian Health Program. DentaQuest announced today that Hyon Leon, director, data analytics & underwriting, has been named to Profiles in Diversity Journals 2022 Asian Leaders Worth Watching. Employment and Community First CHOICES Provider Directory East, Employment and Community First CHOICES Provider Directory West, Employment and Community First CHOICES Provider Directory Middle, Medication-Assisted Treatment (MAT) Providers, Get Help in Another Language and Nondiscrimination Policy - English, Get Help in Another Language and Nondiscrimination Policy - Spanish. Is this program right for you or a loved one? We consulted with two DentaQuest providers, to help understand the basics of oral cancer prevention and how we should be screening for it in our own mouths. DentaQuest supports large-scale changes in policy and infrastructure to improve SDOH. Call Currently, Steven oversees DentaQuest teams that manage client partnerships to deliver dental benefits for millions of people across several states. This article discusses the complex barriers that keep people from accessing oral health care and how to think differently about how we deliver it. Need help with something? Our EyeQuest vision plans provide coverage for more than 1.5 million Americans. Routine and emergency dental care are safe during pregnancy and improved oral health can lead to better health outcomes for both mother and baby. Thelist of covered dental procedure codes is posted and will be maintained on this website. For member specific information,please visit https://www.tn.gov/tenncare/members-applicants/dental-services.html. Visit TennCare CHOICES or our member handbooks for complete details. Why is improving your patient communication skills important? DentaQuest dental providers must complete an Outpatient Hospital We keep it simple. Dental coverage is an important part of maintaining your overall health. Welcome. DentaQuests robust training empowers you to make a positive impact on the oral health of your community while benefitting your practice. As neighbors came knocking for assistance, Anel Torres, a member advocate specialist at DentaQuest, took action to help provide clean water to the community. Or learn more at the TennCare DIDD site. The right dental benefits partner can boost member experience and plan success, Her dedication to advancing womens leadership in oral health care aligns with both organizations goal to grow and promote female leaders. DentaQuest President Steve Pollock presided as master of ceremonies at recent 5-year anniversary breakfast recognizing the organizations efforts to combat the opioid crisis. You can find a dentist by calling DentaQuest at 855-418-1622 or visiting dentaquest.com/state-plans/regions/Tennessee. Silver Diamine Fluoride (SDF) stops the progression of tooth decay and the application is quick and painless. To find a dentist, visit theDentaQuest websiteor call855-418-1623. x DentaQuest and the Provider shall allow a Member to file a Complaint either orally or in writing at any time. click here Stay on top of oral health and overall wellness when you make the most of your dental appointment. DentaQuest President Steve Pollock and his wife Susan, recently received the Friend & Leader Award by the Massachusetts Association of Mental Health (MAMH). Award continues DentaQuests long-standing partnership with Florida to improve oral health outcomes statewide Our portal lets you: At DentaQuest, we are committed to improving oral health by redefining Dental Care Plus (DentaSpan/DentaTrust): 888-554-5542 2. Your Medicare Advantage plan's integrity and health depend on regulatory compliance and robust fraud, waste and abuse strategies. If youre new to TennCare, you have 90 days to request a change. TennCare Adult Oral Health Programs Office Reference Manual (ORM). It is essential to our mission to improve the oral health of all. They must also include the request for mobile anesthesia in box 35, just as they do now for a request for treatment in a hospital or ambulatory surgery center. TennCare decides its in the best interest of you and them. Alabama Arkansas Arizona California Colorado Delaware Florida Georgia Illinois Indiana Iowa Kansas Call 911911 or go to the nearest ER or mental health crisis walk-in center. DentaQuest Exchange (HIX): 844-876-3978 Referring a member to a dental provider? Gain insight into preventive care and the future of dentistry from an expert discussion panel led by DentaQuest and 3M. Thelist of covered procedure codesand additional information regarding the adult dental benefit is available on TennCares Dental Servicespage. If the answer is yes, you are more likely to get another. At DentaQuest, our case management team has a unique and up-close role helping those who are most vulnerable overcome barriers to care. TennCare Adult Oral Health Programs Office Reference Manual (ORM) TennCare Dental Advisory Committee your health, like when it's time for an annual visit or From the main menu, select administration Electronic Funds Transfer. Message DentaQuest through secure messaging. As a parent of an adult with intellectual and/or developmental disabilities (I/DD), Louisiana state representative Rhonda Butler understood from experience that dental care is the number one unmet need among adults with I/DD. Parents or caretaker relatives of a minor child (child must live with you and be a close relative), Women who need treatment for breast or cervical cancer, People who live in a nursing home with a monthly income of less than $2,205 or get Rather than sending the patient home with active disease, dental offices can now stop the disease progression with an SDF treatment. tenncareconnect.tn.gov. 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. Remember to update TennCare Connect! Tenncare Strategy for Acute Users. Those who qualify for dental may visit dentaquest.com to learn more. At DentaQuest, we are committed to improving oral health by redefining prevention and care. The newsletter designed for anyone who wants to improve oral health for themselves, their families, customers or communities. CoverKids: 888-291-3766 You win your TennCare appeal to change MCOs due to hardship, and youre enrolled in another MCO. Medical-dental integration (MDI) helps vulnerable populations get the oral health care they need. See full details about your benefits: This site uses cookies and related technologies, as described in our privacy policy. Password. His passion for access to oral health care aligns with the nonprofits mission to provide children in need with life-changing dental care. What services are covered? Please educate your patients on the importance of the first dental visit by the first birthday, and twice annually after the first appointment. The AAPD recommends that dentists incorporate the age one visit/infant oral health exam into their practices in order to help prevent early childhood cavities. As we celebrate Hispanic Heritage Month, we sat down with Dr. Bertha Alarcon, for a conversation about the importance of representation in dentistry. Use our simple online search tool: Find A Dentist Providers Contact Us Web Content Viewer PLANS & PROGRAMS All the important details in one place We have two TennCare plans - BlueCare and TennCare Select. Get help with quitting. The awards recognize individuals and organizations that champion equitable access to oral care and overall health outcomes, Statement from DentaQuest President Steve Pollock on signed 2023 budget. Yet it also would likely not be shocking to most veterans that VA benefits can be inadequate and hard to access. For Manager of Dental Case Management Gonzalo Perez living the DentaQuest mission means no one is left behind. That means you can get dental care like cleanings, fillings and more at no cost to you. We rely on you to deliver quality, prevention-focused dental care. Were glad to talk about whether this program is right for you. Care must be medically required to be covered. to register. Dentist 519 N Highland St, Memphis, TN 38122 4.82 163 verified reviews First Time Non Chronic Form. This program Welcome to Preventistry Central! Use our search tool below to find a plan provider close to home. 96 Worcester Street New Dentist? Clover Medicare Advantage: 888-554-5542 Thats why this year, the ADA is educating adults on the benefits of sealants for children. 02481. calling DentaQuest's Provider Service department. These resources can be distributed online, printed for distribution, or posted on doors of waiting rooms or exam rooms. BlueCare Tennessee is an Independent Licensee of the Blue Cross Blue To find a dentist, visit the DentaQuest website or call 855-418-1623. And your doctor says getting the services at different times would hurt your health. Recognition derived from employee responses; 87% of employees are proud of the way the company contributes to the community. Wellesley Hills, Massachusetts All TennCare members have dental benefits as of January 1, 2023. Adult Dental Services You have a pharmacy card just for your prescription drugs. Good oral health is a human right. Frequently asked questions about root canal treatments. Amerigroup Medicare Advantage: 800-341-8478 Using tobacco is always bad news, including for your teeth and gums. After a claim is successfully submitted, funds will be deposited within3 business days. Welcome to Our Web Portal! Additional documents, including Office Reference Manuals, can be found on the Provider Web Portal. Its no secret that access to dental health care is an ongoing issue in our country, with emphasis drawn to it after the conversation around expanding Medicare. Gum disease is a special concern when you are pregnant. Tennessee dental providers enrolled in the DentaQuest network serve members of the following health plans and government programs in Tennessee. Americas ToothFairy, a nonprofit organization that provides resources to increase access to dental care and oral health education programs, is partnering with Sun Life and DentaQuest. Dental Services Dental Services TennCare dental benefits are handled by a contracted dental benefits manager. Our nurse care managers work with the member, family caretaker relatives, other caregivers and family, and providers. Plus children who With help, they may be able to live on their own or with family or a group instead of in a facility. We keep it simple. This could cause a disruption in where you live or work. 1-800-468-9698. Providers cannot request to alter or remove reviews. At DentaQuest, we are committed to improving oral health care for all from infants to elders. DentaQuest provides TennCare dental benefits for children under age 21 only. All adult TennCare enrollees now have dental benefits. Comfort and care make you a real-life Tooth Fairy. DentaQuest is a leading dental insurance provider in Tennessee, providing dental coverage to eligible members of various Medicaid, CHIP, Medicare Advantage, Marketplace and Personal plans. You can rely on us for a network that's easy to work with, simplifies administration and gets claims paid fast. We are always searching for new tools to address prevention, which is why Curodont has been piloted in our Advantage Dental+ clinics across the country. But they also make it possible to change plans. Thats an independent company that specializes in these services. *Required I don't have an account yet. Though Senior Compliance Analyst and Civil Rights Coordinator Ugonna Onyekwus time is focused on ensuring that DentaQuest takes the steps necessary to comply with applicable rules and regulatory, statutory and contractual obligations, he maintains a personal connection to the DentaQuest mission. You will receive a confirmation notification with a Request Number after successfully completing the form. Our food choices have a direct connection to another important part of our overall well-being our oral health. Free programs can help you quit. If you need more info, you can visit the Your Health page. Log in to your portal, access training and plan info or discover how to join our national dental network. other long-term care services that TennCare pays for, Children under age 21 who receive Supplemental Security Income (SSI), Children under age 21 receiving long-term services and supports, TennCare members living in areas with fewer health care providers, TennCare members temporarily living out-of-state, Foster children (including those age 18-20) in state care. Your teeth and gums with thank you. Encourage your childs life-long oral health. You can search for many different providers, like: Primary care providers (PCP) . Check your account and update your contact information as soon as possible. Beginning January 1, 2023, all Medicaid eligible adults will receive dental services through TennCare's Adult Dental Plan. Provider Criteria (optional) Specialty Not sure what dental care provider is right for you? Theres a common misconception that the need for oral health care lessens as people get older. DentaQuest is a leading dental insurance provider in Tennessee, providing dental coverage to eligible members of various Medicaid, CHIP, Medicare Advantage, Marketplace and Personal plans. NCQA certified DentaQuest for utilization management and credentialing, using voluntary assessments governed by the industrys strictest quality standards, Providing oral health resources to hundreds of children in the metro Oklahoma City area, HIPAA-compliant, third-party texts increase dental member utilization by 13%, Contract renewal continues DentaQuests longstanding partnership with Virginia Department of Medical Assistance Services to improve oral health outcomes statewide for children and adults, DentaQuests recent partnership with the Virginia Health Care Foundation incentivizes dental clinicians to join safety net dental practices across the state, Use personalization and connection to differentiate your health plan among Medicare Advantage members. These regular checkups are also covered for adults 21 and over. This program helps them get the care they need. When the state of Louisiana recently passed legislation to provide comprehensive adult dental benefits for people with intellectual and developmental disabilities (I/DD), it was cause for celebration. Paying attention to every detail. We want to protect your aging or ill loved ones in the care of others. TennCare and DentaQuest want you to have everything you need to improve outcomes for patients. 02481, "Card 1 of 3: DentaQuest to Continue Management of Oral Health Care for Virginia Medicaid Recipients Under New Contract, "Card 2 of 3: DentaQuest Earns Utilization Management, Credentialing Accreditations from National Committee for Quality Assurance, "Card 3 of 3: DentaQuest Aims to Increase Access to Dental Care for Virginia Medicaid Enrollees, View card 1 of 3: DentaQuest to Continue Management of Oral Health Care for Virginia Medicaid Recipients Under New Contract, View card 2 of 3: DentaQuest Earns Utilization Management, Credentialing Accreditations from National Committee for Quality Assurance, View card 3 of 3: DentaQuest Aims to Increase Access to Dental Care for Virginia Medicaid Enrollees.

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