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Dental General Manual, Covered Services and Bulletins


Provider Dental Manuals

Dental Manual (Updated .10.1.20)

WY COBA Duplicate Claims Issues Postcard

Processing CHIP PA Requests for 10.1.2020 DOS

Kid Care CHIP is Changing RA Banner

Tribal Provider Manual (10.1.20)

Dental Fee Schedule (10.2.20)

Edits EOBs and Resolutions 4.2.20
This is a list of edits that may post when verifying claims in the Secure Web Portal, along with the possible EOB codes that would post on any claim denials.  Each edit and EOB code combination has a suggested resolution.

Provider Medicaid and State Health Care Benefit Plan 10.1.20

Important Policy Changes/Additions

Dental Manual (Update 7.1.20)
Dental Manual (Update 4.1.20)
Dental Manual (Update 1.1.20)
Dental Manual (Update 10.1.19)
Dental Manual (Update 7.1.19)
Dental Manual (Updated 4.1.19)
Dental Manual (Updated 1.1.19)
Dental Manual (Updated 10.1.18)
Dental Manual (Updated 7.1.18)

 Malocclusion Program

Severe Malocclusion Program Provider Training
Orthodontic Parent Handout (English)
Orthodontic Parent Handout (Spanish)
Prior Authorization Request - Non DME
Malocclusion Treatment Request Form
Malocclusion Referral form for Clients under 12
Oral Surgery Request Form

Dental Forms

Prior Authorization Request - Non DME
Oral Surgery Request Form
Attachment Cover Sheet
Adjustment /Void Form (118K)
Tooth Replacement Request Form
Order vs Delivery Date Form
Dental Provider Client Acceptance Form Update

Dental Provider Resources

Dental New Provider 2020 Training
Dental Advanced Provider 2020 Training
Dental FAQs
Dental Tutorial

Dental Bulletins