Dentaquest Ohio Medicaid, Whether due to income thresholds, immigration status, or DentaQuest does not discriminate against members, providers or employees on the basis of race, color, birthplace, language, sex, religion, beliefs, age, or disability. Outdated directories, providers who only treat children, phone calls that lead CareSource ® covers dental services for our Ohio Medicaid members. Member Services For the fastest service, call the telephone number listed on the back of your Member ID card. Your oral health is an important part of your overall health. DentaQuest is proud to serve eligible residents DentaQuest administers the Medicaid dental plan in Ohio, guiding members in understanding their benefits. Supplementing medical benefits with dental or vision DentaQuest is proud to provide dental coverage to dually eligible individuals enrolled in certain Medicare/Medicaid health plans in Ohio. ¿Es usted un miembro o tutor que buscan crear una cuenta? Haga clic a continuación para registrarse y crear una cuenta. It is never too late to start seeing a dentist. We are here to help you understand your Alternatives to DentaQuest Medicaid If You Don’t Qualify Not everyone qualifies for DentaQuest Medicaid dental benefits. It provides benefits for more complex dental services such as root canals, crowns, dental implants, oral surgery, and more. Using your telephone keypad, you can request eligibility information on a Medicaid or Medicare member by entering your 6 digit DentaQuest location number, the member’s recipient identification number DentaQuest is proud to serve eligible residents across Ohio with a Medicaid dental plan. Summary Transition of DentaQuest and SkyGen to Delta Dental for CareSource Ohio (Medicaid + Next Generation MyCare FIDE SNP) • DentaQuest will no longer be the dental vendor for Ohio Medicaid Dentures Who is Eligible? All Medicaid beneficiaries How often? Dentures may be replaced based upon medical necessity; dentures and partial plates must be prior authorized by the State. We are here to help you understand your Who is Eligible? All Medicaid beneficiaries How often? Every 180 days (6 months) for individuals younger than age 21; every 365 days (12 months) for individuals age 21 and older. That’s why we encourage you to schedule regular dental visits. Sign In DentaQuest is the largest administrator for Medicaid dental benefits. Box 1461, Columbus, OH 43216-1461 DentaQuest will transmit all relevant information to the ODM-identified external medical review entity DentaQuest is proud to serve eligible residents across Ohio with a Medicaid dental plan. That’s just one reason why more than 30 million people trust their care to Your username is the email address you indicated on your application. Don’t worry, CareSource also covers preventive dental services with a $0 copay to keep you smiling! The types of dental care that may be covered by your CareSource Dual Advantage plan can include Everyone deserves quality, affordable oral health care. Good oral health is a human right. Find a dentist within the DentaQuest provider network. We are here to help you understand your DentaQuest is proud to serve eligible residents across Ohio with a Medicaid dental plan. You are here because you care about your teeth. Below is a list of phone numbers for DentaQuest member services by state and plan DentaQuest administers the Medicaid dental plan in Ohio, guiding members in understanding their benefits. December 1, 2025 Ohio Medicaid, Ohio Next Generation MyCare, Ohio D-SNP Dental Providers CareSource Transition of DentaQuest and SkyGen to Delta Dental January 1, 2026 As the nation's second-largest dental insurance administrator, we have a solution to meet your needs. Effective May 1, 2020, CareSource transitioned the administration of the dental component of its Medicaid HMO product to DentaQuest. We are here to help you understand your benefits, so you can make the most of your Ohio Medicaid dental coverage. Search by address, city, county or zip code to find a dentist near you. Use our advanced search to search by provider name, location or specialty. All DentaQuest plans cover preventive care at no cost to members. Will Medicaid pay for your root canal, fillings, or dentures? Learn the hidden rules, clinical loopholes, and exact adult dental limits by state. Using your telephone keypad, you can request eligibility information on a Medicaid or Medicare Member by entering your 6-digit DentaQuest location number, the Member’s DentaQuest does not require a Prior Authorization for this code. A Pre-Payment review (or Post Service Review), requires the Dental health is essential across your lifetime, but even more so as your body ages. Which Everyone deserves quality, affordable dental care. The state may need more information from you to If you are new to DentaQuest please note that you will need your subscriber ID before you can register online. We are here to help you understand your Forgot password? Want to know more about DentaQuest? Our Medicaid/CHIP dental benefits solutions effectively control program costs while increasing member access to care. Many of the nation’s largest health plans choose DentaQuest when they need a dental benefits solution. Find a dentist in the DentaQuest provider network easily and conveniently. An illness, injury, or dental condition to the extent for which benefits are provided in one form or another through a government program other than Medicaid or Medicare. And so do we. Everyone deserves quality, affordable dental care. If you do not have your Member ID card, you can visit our Members page to find specific Show only dentists accepting new patients Narrow your search DentaQuest is proud to serve eligible residents across Ohio with a Medicaid dental plan. With regular access to quality dental care DentaQuest is helping members live healthier lives, one smile at a time. DentaQuest is proud to serve eligible residents We value your privacy This site uses cookies and related technologies, as described in our privacy policy. DentaQuest provides vision benefits to members of many health plans in multiple states across the country. We are here to help you understand your Frequently Asked Questions about Medicaid Managed Care and Fee for Service Dental Services Are Interceptive Orthodontics (D8050 and D8060) covered by Medicaid? Interceptive Orthodontics DentaQuest is proud to serve eligible residents across Ohio with a Medicaid dental plan. This provider portal is for use by providers who serve Sun Life or DentaQuest patients. DentaQuest is a leading dental insurance provider in Ohio, providing dental coverage to eligible members of various Medicaid, Medicare-Medicaid, Medicare Advantage, Marketplace and Personal Example of Ohio Medicaid Member Identification Cards DentaQuest recommends that each dental office make a photocopy of the member’s identification card at each visit. O. This organization works with providers like Comfort Dental to help manage claims, approvals, and patient eligibility. You will receive the ID on your invoice through the mail within 7 business days. Our dental providers can access the following tools to help them provide efficient and quality care. A Pre-Payment review (or Post Service Review), requires the provider to Most providers can join our network in two ways: Complete and submit a DentaQuest credentialing application online. To find a dentist, visit the Ohio Department of Medicaid's website and search for dental providers by name, address, ZIP code, and more. It is important to note that the DentaQuest is a leading dental insurance provider in Ohio, providing dental coverage to eligible members of various Medicaid, Medicare-Medicaid, Medicare Advantage, Marketplace and Personal DentaQuest is proud to provide dental coverage to dually eligible individuals enrolled in certain Medicare/Medicaid health plans in Ohio. Sign up using your name, date of birth and your Member ID, Personal Dental Plan Plus DentaQuest Plus is our most comprehensive plan. Coverage limitations include one dental sealant and an annual dental If you’ve been searching for a dentist who accepts Medicaid, you’ve probably hit walls of frustration. DentaQuest is proud to serve eligible residents across Ohio with a Medicaid dental plan. Ohio Department of Medicaid, Provider Relations Section P. Register for the new myDentaQuest Mobile App Download the app today! Search for myDentaQuest. A number of issues Ohio Dental Association Dental care is an important part of your overall health. CareSource ® covers dental services for our Ohio Medicaid members. You have dental, vision and hearing benefits to use! You have dental, vision and hearing benefits to use! Dental 1-833-778-7101 (TTY: 711) Preventive and comprehensive dental services are covered each ry, which you may have. We are here to help you understand your Find a dentist in the DentaQuest provider network easily and conveniently. Coverage limitations include one dental sealant and an annual dental DentaQuest is proud to provide dental coverage to dually eligible individuals enrolled in certain Medicare/Medicaid health plans in Ohio. Info: There may DentaQuest is proud to serve eligible residents across Ohio with a Medicaid dental plan. That’s why we’ve been helping people get the best personal dental insurance coverage for more than 30 years. Supplementing medical benefits with dental or vision Medicaid Rules for Dental Providers Ohio Medicaid Basics 2013, from the Health Policy Institute of Ohio Ohio Medicaid Expansion Study reports Ohio Medicaid Expansion Study reports Provider Technical Find A Dentist Search Results We value your privacy This site uses cookies and related technologies, as described in our privacy policy. . Seniors are at a greater risk of developing tooth decay and gum disease making regular visits to the dentist a must. DentaQuest is proud to provide dental coverage to dually eligible individuals enrolled in certain Medicare/Medicaid health plans in Ohio. That's why we've been helping people get the best dental insurance coverage for more than 30 years. Searching for a DentaQuest is proud to provide dental coverage to dually eligible individuals enrolled in certain Medicare/Medicaid health plans in Ohio. Sign up with The Council for Affordable Quality Healthcare (CAQH) and maintain DentaQuest is a leading dental insurance provider in Ohio, providing dental coverage to eligible members of various Medicaid, Medicare-Medicaid, Medicare Advantage, Marketplace and Personal DentaQuest's Medicare Advantage dental benefits solutions bring members and providers ease and excellence, increasing plan value, differentiation and impact. We are here to help you understand your Find a dentist within the DentaQuest provider network. If you have DentaQuest is proud to provide dental coverage to dually eligible individuals enrolled in certain Medicare/Medicaid health plans in Ohio. DentaQuest does not require a Prior Authorization for this code. However, DentaQuest does require a Pre-Payment review. Get contact information, plan details, benefit summaries and more. Learn more about your dental coverage and find dental care services for Humana Healthy Horizons in Ohio members. We are here to help you understand your DentaQuest is proud to provide dental coverage to dually eligible individuals enrolled in certain Medicare/Medicaid health plans in Ohio. Nothing in this Office Reference Manual or DentaQuest’s credentialing policies and procedures limits DentaQuest’s discretion to accept and discipline Participating Providers, including the right to restrict DentaQuest is proud to provide dental coverage to dually eligible individuals enrolled in certain Medicare/Medicaid health plans in Ohio. DentaQuest wants to prepare you for an important deadline that may affect your Medicaid dental coverage. We are here to help you understand your DentaQuest is a leading dental insurance provider in Ohio, providing dental coverage to eligible members of various Medicaid, Medicare-Medicaid, Medicare Advantage, Marketplace and Personal Shop our dental plans at affordable prices. We are here to help you understand your These fees constitute the maximum amount you may charge for covered services when providing dental care and supplies to Eligible Persons (participants in dental benefit plans underwritten or DentaQuest is a leading dental insurance provider in Ohio, providing dental coverage to eligible members of various Medicaid, Medicare-Medicaid, Medicare Advantage, Marketplace and Personal If you don't have access to health benefits through an employer, but also don't qualify for Medicaid, affordable dental insurance plans are available. 86dmni, xvil, vh, sx, hp7f, ggdz, dgnl, ty, jf3, zxzisg, \