Author: EDI provides a faster and cleaner method for delivering time-dependent data, saving you time compared to filing paper claims. We are committed to giving Medicare-eligible individuals access to innovative products and services that make it easier for them to improve their health and wellbeing. Department for Aging and Independent Living, Department for Behavioral Health, Developmental and Intellectual Disabilities, Division of Administration and Financial Management, Department for Family Resource Centers and Volunteer Services, Division of Family Resource and Youth Services Centers, Division of Long-Term Services and Supports, Division of Quality and Population Health, Program of All-Inclusive Care for the Elderly (PACE), Division of Epidemiology and Health Planning, Division of Prevention and Quality Improvement, Office for Children with Special Health Care Needs, DPH Division of Maternal and Child Health, Office of Application Technology Services, Office of the Ombudsman and Administrative Review, Passport Health Plan by Molina Healthcare, Provider Letter A-105: COVID-19 Guidance for all Medicaid Providers, General Provider Letter #A-103 - IMD Expansion, MAP-9 - Prior Authorization for Health Services, Out-of-state providers must be licensed by the. Vaping harms the whole body, including your teeth and gums. View profile & reviews Other providers Availability last updated 06/30/2023 Insurance info unavailable Lawrence Vornholt, DMD 73.5 mi Dentist 815 Eastern Blvd, Clarksville, IN 47129 Visit docinfo.org to search for providers and find out where they went to medical school. Healthcare Effectiveness Data and Information Set (HEDIS), Early and Periodic Screening, Diagnostic and Treatment (EPSDT), Provider Experience Quick Reference Guides, Centers of Medical Excellence Transplant Operations Manual, Quality Measures Desktop Reference for Medicaid Providers, HEDIS prenatal and postpartum care coding bulletin, HEDIS Well Child and Immunization Coding Bulletin 2022. This article discusses the complex barriers that keep people from accessing oral health care and how to think differently about how we deliver it. Thats why its so important to celebrate pioneers in the industry who are paving the way for the next generation of dentists dentists like Dr. Darlene Sorrell. Medical Policies & Clinical UM Guidelines, Healthcare Effectiveness Data and Information Set (HEDIS), Early and Periodic Screening, Diagnostic and Treatment (EPSDT). " Highly recommended Aisha Nasir, DMD Dentist Alexandria, VA 4.95 ( 222 reviews) At DentaQuest, our case management team has a unique and up-close role helping those who are most vulnerable overcome barriers to care. It is essential to our mission to improve the oral health of all. Ask a Question. Contact DentaQuest at 855-343-7405. It may be surprising that a lack of Hispanic representation in the dental field compounds barriers to care among this already underserved population. 711. New department for Medicaid services MAP form available for providers- Cancer Care Navigator- Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines- Medical Policies and Clinical Utilization Management Guidelines update- Specialty pharmacy site of care- Prior authorization updates for medications billed under the medical benefit AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines update- Medical step therapy updates, Dont Miss: Dentist In Lafayette That Accept Medicaid. Dont Miss: Difference Between Obamacare And Medicaid. As neighbors came knocking for assistance, Anel Torres, a member advocate specialist at DentaQuest, took action to help provide clean water to the community. Using an Anthem dental plan at a provider may require you to first satisfy an annual deductible and require copayments or coinsurance for remaining balances. That goes double for dental plans for veterans. Ohio - Anthem Blue Cross and Blue Shield. This acknowledgement is a testament to Anthem Kentucky Medicaids unwavering commitment to address the needs of our distinct members and providers, and it validates that we are making a positive impact in the diverse communities we serve by providing access to high quality health care. Dental coverage for children includes oral exams, emergency visits, x-rays, extractions, and fillings. online applicationto join the Anthem provider network at any time. Choosing the health plan that works best for you and your family is also important. Reminding members to have important preventive screenings. Up until the late 1800s, black dentists were nearly unheard of. Effective April 1, 2022, approximately 200,000 Medicare-eligible City of New York retirees across the United States will transition to the NYC Medicare Advantage Plus plan and have access to Blue Cross Blue Shield Medicare Advantage PPO Network Sharing. EyeQuest is an independent company providing vision benefit management services on behalf of Anthem Blue Cross and Blue Shield Medicaid. Please refer to the MCO if appealing anMCO claim. Dental coverage is an important part of maintaining your overall health. Have you had a cavity recently? Medical-dental integration (MDI) helps vulnerable populations get the oral health care they need. Launch Availity Prior Authorization Claims & Disputes Forms Provider Training Academy We're glad to hear that you are interested in joining the Anthem Blue Cross and Blue Shield Medicaid (Anthem) network. We can help guide you through our dental plan options that cover braces, orthodontics, and dentures. Anyservices performed must fall within the scope of practice for the provider. Our team of professionals are friendly and courteous, and our office is designed to be comfortable and relaxing. Anthem Providers. LOUISVILLE Anthem Blue Cross and Blue Shield Kentucky Medicaid, a commonwealth-wide provider of Medicaid managed care services, announced that is has been recognized by the National Committee for Quality Assurance , which awards distinction to organizations that meet or exceed its rigorous requirements for multicultural health care. Llame a nuestro nmero de Servicio de Atencin al Cliente (TTY: 711). Learn more Medicaid benefits Medicaid provides benefits to keep you healthy. DentaQuest knows that it can make a big change in the quality of life and a persons overall health and wellbeing, especially for a person with a disability. 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 can also search for doctors who are accepting new patients and can serve as your PCP. Filing your claims should be simple. Currently, Steven oversees DentaQuest teams that manage client partnerships to deliver dental benefits for millions of people across several states. Large Group When Dr. Mary Martin saw an article written by a female dentist on battered women and oral health back in 1995, it sparked an idea and a passion that would change the lives of hundreds of women across the country. You may also use the help of a licensed insurance agent to help you find Anthem dental providers in your area. 02481, "Card 2 of 3: Vaping and Your Oral Health, "Card 3 of 3: How Gum Disease Can Hurt Your Pregnancy, View card 2 of 3: Vaping and Your Oral Health, View card 3 of 3: How Gum Disease Can Hurt Your Pregnancy, Fluoride (for children ages 14 and younger), Sealants (for children ages 14 and younger). DentaQuest and Virginia Health Catalyst praise the state benefit expansion, commit to increasing awareness among Medicaid members and providers, Statement from DentaQuest President and CEO Steve Pollock on the Juneteenth holiday. DentaQuest Member Services: 855-343-7405. NKDS Medicaid Dentists - Northern Kentucky Individual Dental Insurance Plans in Kentucky | Anthem Using tobacco is always bad news, including for your teeth and gums. Be enrolled asactiveMedicaidproviders and, if applicable, enrolled with the managed care organization (MCO) of any beneficiaryserved. When we first met Dr. Alex Barrera last summer, we knew he was a trailblazer. Amber Bonnaig, DDS, dental director at DentaQuest, had the opportunity to present at the 2022 Black Maternal Health Conference and Training Institute. Home | Anthem BlueCross BlueShield Kentucky Medicaid Anthem Blue Cross and Blue Shield is the trade name of: In Indiana, Anthem Insurance Companies, Inc.; In Kentucky, Anthem Health Plans of Kentucky, Inc.; In Nevada, Community Care Health Plan of Nevada, Inc.; In Eastern Wisconsin, Compcare Health Services Insurance Corporation (for its insurance policies offered through the BadgerCare Plus . Welcome, Kentucky Members and Dentists DentaQuest is on a mission to improve the oral health of all. Type at least three letters and we will start finding suggestions for you. 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. Use the companys online search tool to find Anthem dental providers near you. Were more than happy to work out a payment plan through Lending Club or CareCredit that works for you. Were glad to hear that you are interested in joining the Anthem Blue Cross and Blue Shield Medicaid (Anthem) network. Vision services Everyone deserves to be healthy a healthy mind, a healthy mouth, a healthy body. We view our providers as partners and we offer resources and tools to help them best serve our members. Good for individuals or families, we offer a range of options to help you save money on dental care. Also Check: General Doctor That Accepts Medicaid, Anthems Medicare plan members will be able to choose health and wellness services that address drivers of health. Please Select Your State The resources on this page are specific to your state. Preventive oral health care is a critical component of overall health at any age. Members will be able to choose from a package of up to nine benefits, which may include benefits such as dental, vision, and hearing flex card healthy food and in-home support. Anthem makes it easy to find dental providers. You can use this directory to search for basic information about healthcare providers. New York City Medicare Advantage announcement. Program Summaryincludes a complete list of provider types we credential and those we do not. 2021 affirmative statement concerning utilization management decisions- May 2021 Medical Policies and Utilization Management Guidelines update. Simple steps to stop acids from damaging your tooth enamel will help you prevent cavities over time. We look forward to working with you to provide quality services to our members. Anthem Medicaid Ky Dental Providers - MedicAidTalk.net As we celebrate Hispanic Heritage Month, we sat down with Dr. Bertha Alarcon, for a conversation about the importance of representation in dentistry. Change PCP. Take care of your teeth and gums for a healthy smile. You may also use the help of a licensed . We currently operate in more than 30 states serving over 25 million members, the majority of whom are in government-sponsored programs. Contact Details. As we grow older, dental issues can lead to more severe health issues, so it is important to start practicing preventive health as soon as possible and working toward a healthier future. If your state isnt listed, visit www.bcbs.com for other coverage options. Put those two together, and our dental offices are a pleasant place to be. Reimbursement for dental services is in accordance with the Kentucky Medicaid Dental Fee Schedule and defined in
Jimenez understands the importance of delivering excellence, one of DentaQuests five core values, and regularly emphasizes it to his team. Our food choices have a direct connection to another important part of our overall well-being our oral health. Kentucky Health Information Exchange, KHIE. Talk to a licensed agent: That's why we've redesigned the provider site to make it more useful for you and easier to use. Its our priority to make each appointment a positive and effective experience. Each MCO provides prior authorization for itsbeneficiaries. Use the company's online search tool to find Anthem dental providers near you. Member Handbooks and Helpful Resources - Anthem Take your Health Risk Assessment. To reach Medicare Advantage members, health plans need a dental partner with network solutions that deliver greater access and better performance. Claims must be received within 12 months ofthe date of serviceor six months from the Medicare pay date whichever is longer, or within 12 months ofthe last KY Medicaid denial. For information on the Kentucky Medicaid program 1-800-372-2973 (TTY 1-800-627-4702) New Baby, New Life. Enroll in a stand-alone dental insurance plan anytime during the year or add it to one of Anthemshealth insuranceorvision insuranceplans. Medicare Complaints, Grievances & Appeals, Diagnostic and preventive care covered at 100% with no waiting period, No deductible for diagnostic and preventive services when you visit a doctor in your plans network, Shorter waiting periods than traditional plans for basic, complex, and major services, Higher annual benefit maximums up to $2,500, Diagnostic and preventive services covered at 100%, Pediatric essential health benefits covered for children up to age 20. Answers to your medical questions any time, night or day, Get help with mental health or substance abuse crises 24 hours a day, 7 days a week, For information on the Kentucky Medicaid program
Log into your secure account and select a new doctor. Costs may vary by plan, so be sure to review all of your plan options first in order to find the best fit for your budget. Explore options and shop plans in your area. Learn more about plans 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. Answers to your medical questions any time, night or day, 1-855-661-2025 (TTY 711)
Find a doctor search tool To find an in-network dentist or change your primary care dentist (PCD), call DentaQuest at 855-343-7405. Kamila Chytil, executive VP and COO at DentaQuest, shared her perspective on adjusting leadership styles with Profiles in Diversity Journal. You May Like: Medicaid Office On Dauphin Street. Claims Overview. Download the Sydney Health mobile app
You can use Availity to submit and check the status of all your claims . Learn about the basics of dental insurance. The department will not reimburse for a service provided to a beneficiary by more than one provider of any program in which the same service is covered during the same time period. Most dental insurance plans have waiting periods for some procedures. . Anthem Blue Cross and Blue Shield Medicaid is the trade name of Anthem Kentucky Managed Care Plan, Inc., independent licensee of the Blue Cross and Blue Shield Association. Medicaid is a health insurance program for people with low income. Kentucky Expands Medicaid Coverage to Include Dental Care for Adults Please contact us to confirm your current benefits. We collect data from third-party websites, official websites, and other public sources. Log In to Availity Don't have an Availity account? DentaQuest, the nations second largest dental benefits administrator, today announced it has been selected as a preferred vendor by the Association for Community Affiliated Plans (ACAP). Policies outlining the basic terms for reimbursement of services covered under our members benefits plans. California - Anthem Blue Cross. 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. What is Medicaid? If you cant find your insurer on our site, give us a call at 262-965-3662. Anthem Blue Cross Blue Shield of Kentucky and DentaQuest Expand DentaQuest, one of the nations largest and most experienced Medicaid dental benefits administrators, today announced its new engagement with Partners Health Plan (PHP) to increase access to oral health care and improve outcomes for individuals with intellectual and/or developmental disabilities (I/DD). Sun Life U.S. and DentaQuest, which is part of Sun Life U.S., have donated $100,000 to Embrace Boston, a fund established in 2017 to create a memorial tribute to Dr. Martin Luther King, Jr. and Coretta Scott King. Get help with mental health or substance abuse crises
Many people find value in buying dental coverage apart from their medical plan because separate plans usually offer more choices and may have better benefits to meet the needs of your whole family. 907 KAR 1:626. Log in to your member account - Anthem We think so! . When addiction and substance abuse come to mind, most people imagine damage to the lungs, heart or brain not oral health injuries to teeth or gums. CAQH (Council for Affordable Quality Healthcare) ProViewto collect and verify healthcare professionals qualifications, including certification, training, licensure and registration to practice. The plan covers cleanings, exams, and X-rays at 100% with no waiting period when you visit a dentist in your plans network. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. Privacy Guidance When Selecting Third-Party Apps (English), Privacy Guidance When Selecting Third-Party Apps (Spanish). Thats why this year, the ADA is educating adults on the benefits of sealants for children. Learn what it is and how you can protect yourself from coronavirus (COVID-19). Free programs can help you quit. Consider enrolling in a separate or stand-alone Anthem dental plan, which you can buy any time of the year. Medical Policies & Clinical UM Guidelines, Kentucky Cabinet for Health and Human Services: Department for Medicaid Services. Optimizing and continuously improving these digital gateways is critical to ensuring a stellar customer experience. All services must be medically necessary. Many of our clients choose Wright for our flexible payment plan options or our ability work with clients who have no insurance. If you need routine eye services, call eyeQuest at 1-855-343-7405. Anthems provider manuals provide key administrative information, details regarding programs that include the utilization management program and case management programs, quality standards for provider participation, guidelines for claims and appeals, and more. Read Also: Dentist Buffalo Ny That Accept Medicaid. We are here to help. One population that is severely underrepresented are American Indians/Alaskan Natives (AI/AN), making up only 0.3% of the workforce. Learn more Eligibility & applying for Medicaid The data collected are carefully checked by our experts before they are added to the database. 2022 Commonwealth of Kentucky.All rights reserved. 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 also must be enrolled in both Medicare Part A and Part B and be at least 65 years old for most plans. Dental Services - PT (60) (61) - Cabinet for Health and Family Services At DentaQuest, we recognize the importance of access to quality dental services especially for children. DentaQuest announced today that Hyon Leon, director, data analytics & underwriting, has been named to Profiles in Diversity Journals 2022 Asian Leaders Worth Watching. Filing your claims should be simple. It is an honor to receive the NCQA Multicultural Health Care Distinction, said Celia Manlove, Medicaid plan president for Anthem Blue Cross and Blue Shield in Kentucky. Complete your application. Providers will bill KentuckyMedicaid using the correct CPT codes. Please note: Facilities (Health Delivery Organizations) may also need to be credentialed before joining the network. Learn about Anthem Dental Family PPO Plans. DentaQuest announced today that Kamila Chytil, COO and executive vice president, and Roxanne Martinez, CHRO and executive vice president, have been named to Profiles in Diversity Journals 2022 Women Worth Watching in Leadership. This secure and private portal reduces the amount of paperwork you need to fill out to complete the credentialing process. We have a diverse network of exceptional healthcare professionals who ensure our members have uninterrupted access to the health care they need.