How Much Do I Have To Pay For Dental Services
The Florida Medicaid Dental Health Program covers many of the costs of routine dental care. You qualify based on your familys income. Families with children or adults who receive Medicaid services have no co-payments. You may have a $3 copayment per day for a nonemergency dental visit in a federally qualified health center.
If your dentist orders a prescription drug for you, we can help you get that drug through Medicaid or your Medicaid health plan. You can avoid extra costs by checking that your drugs are on the Agency for Health Care Administrations Preferred Drug List.
Enroll As A Member Of Mcna Dental
If you live in Florida, you or your children may qualify for Medicaid dental care! The State of Florida will let you know that you have been assigned to one of three insurance companies to manage your dental needs.
If you are assigned to MCNA Dental, you are in luck! You will automatically have access to great dental care and and services. You will also be eligible to get an Amazon.com Gift Card after two preventive dental visits.
Do you need help choosing or changing dental plans? Medicaid has specially trained people to answer your questions and to help you enroll in the plan that best fits your needs. These people are called choice counselors and they provide services free of charge. To speak with a choice counselor, call the Statewide Medicaid Managed Care Help Line toll free at 1-877-711-3662 or visit www.flmedicaidmanagedcare.com.
Please call our Florida Member Hotline at 1-855-699-6262 if you have any questions.
Florida Medicaid Dental Plan Continuity Of Care
The Agency for Health Care Administration contracts with Medicaid Dental Plans to provide dental services to dental plan enrollees in the Statewide Medicaid Managed Care program. The Agency recently entered into a contract with LIBERTY Dental Plan as one of three statewide Medicaid Dental Plans.
LIBERTY Dental Plan is required to ensure continuity of care during the transition period for Medicaid recipients enrolled in the SMMC program.
COC requirements ensure that when enrollees transition from one health or dental plan to another, one service provider to another, or one service delivery system to another , their services continue seamlessly throughout their transition. The Agency has instituted the following COC provisions under its contract with LIBERTY:
More information about COC provisions can be referenced on the COC program highlight document, which is posted on the Agencys website at www.ahca.myflorida.com/smmc . Once on the page, click Program Changes, then the Outreach and Presentations link.
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Enjoy A Gift Card From Us
MCNA rewards our members who take care of their oral health!
Parents or guardians of our Florida Medicaid Dental Health Program members can earn a $10 Amazon.com Gift Card* per child! To earn this reward, the child must see the dentist for an initial dental exam and preventive service when they join our plan. They must then go back for a follow-up dental checkup within 6 months. Adult members aged 18 and older can also earn this reward when they complete the steps listed above.
To learn more, call MCNA toll-free at 1-855-699-6262.
Upcoming Changes To Dental Services In Florida Medicaid
In 2016, the Florida Legislature directed the Agency for Health Care Administration to enroll most Medicaid recipients into dental plans. Recipients will receive a dental plan based on the below schedule. The schedule is separated into phases by the recipients county location.
Recipients will begin to receive letters soon. They will be mailed out about 45 days before each phase starts. For example, recipients will begin to receive letters for Phase 1 in the middle of October. For more information, please click on the following link:
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Find A Dentist Near You
MCNA has a large network of general and specialty dentists throughout Florida. You can choose a dentist from MCNAs online Provider Directory. The directory is always current.
Please call our Member Hotline at 1-855-699-6262 if you need help to find a dentist. We can also help you schedule an appointment for dental care. to download a Provider Directory for your region.
Member Dental Home Assignments
LIBERTY Dental Plan is temporarily removing the requirement of Member Dental Home Assignment.
Effective immediately your office will only need to verify Eligibility prior to scheduling and treating our Medicaid enrollees. The enrollee does not need to appear on your roster in order to be seen. Additionally, based on claims received LIBERTY will transfer your patients to your office for you.
Members DO NOT need to call to transfer, if they require a transfer they can complete the transfer on our website.
Please refer to the provider alert Florida Medicaid Dental Home Assignment Relief sent on 1-23-2019 and posted on your secure provider portal for waiver period in your Region.
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How Do I Receive Electronic Claims Payment
LIBERTY encourages providers to sign up for EFT so that you receive your payments faster. The EFT form can be downloaded here:
Please visit: www.libertydentalplan.com to register as a new user. Your offices Access Code and Office Number will be required to register and are included in your LIBERTY Welcome letter.
Please contact LIBERTYs online administrator at 1.888.700.0643 or send an e-mail to: if you are unable to locate your login information..
Dental Care: Why It’s Important
It is important for babies, children, and adults to see a dentist at least twice a year. The earlier children see a dentist, the healthier their gums and teeth will stay for their whole life. Children should begin seeing a dentist by age 1, even if they do not have teeth yet.
Problems with teeth and gums can be avoided by seeing a dentist early in life and on a regular basis. Brushing, flossing and avoiding sugary foods and drinks can help with healthy teeth and gums.
If a tooth problem does occur, it can have serious effects on your overall health. Tooth problems can also cause problems like not being able to bite and chew food, problems in school, or missing school because of pain. Also, unhealthy teeth can cause problems with speaking.
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Why Is It Important For Me To Go To The Dentist
Preventive dental services are covered benefits. MCNA encourages you to schedule an appointment with your dentist. Regular preventive dental checkups are very important. They can prevent serious dental conditions from happening. If you would like help scheduling an appointment, please call our Member Hotline at 1-855-699-6262. It is open Monday through Friday, from 8 a.m. to 8 p.m.
Dental Care For Children Ages 0
- Dental Exams
- Sedation
- Problem focused
- Pain management
Some Services may require permission from a dental plan before the dentist performs the service. This is called a prior authorization. Services must be medically necessary in order for dental plans to pay for them. For more details about dental services, contact the recipientâs dental plan starting December 1, 2018.
- Additional dental exams
- Dental consultations
- Dental office diabetic testing
- A visit to the dental office to get comfortable with the office and the dentist before dental work is done for persons with disabilities
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