Get the free Medicaid/MC+ Dental Services Coverage Notification - dss mo

This document serves as a notification to Medicaid/MC+ recipients about the reinstatement of dental services coverage for adults, effective from August 21, 2002, following a court order.

How to fill out medicaidmc dental services coverage

How to fill out Medicaid/MC+ Dental Services Coverage Notification

1. Obtain the Medicaid/MC+ Dental Services Coverage Notification form from your local Medicaid office or website.
2. Fill out the patient's personal information at the top of the form, including their name, date of birth, and Medicaid ID number.
3. Provide details about the dental services to be covered, including the procedure codes and descriptions.
4. Include the provider's information, such as their name, NPI number, and contact details.
5. Check the appropriate boxes to indicate if any additional documentation is attached that supports the coverage request.
6. Review the filled-out form for any errors or missing information.
7. Sign and date the form at the bottom to certify that all information provided is accurate.
8. Submit the completed form to the Medicaid office via mail, fax, or in-person delivery as instructed.

Who needs Medicaid/MC+ Dental Services Coverage Notification?

1. Individuals who are enrolled in Medicaid or MC+ and require dental services.
2. Families with children who are eligible for Medicaid benefits looking for necessary dental coverage.
3. Dentists or healthcare providers seeking authorization for dental services for their Medicaid patients.

People Also Ask about

How much can I make a month and still qualify for Medi-Cal?

In 2024, renewal forms will no longer ask for asset information. That means you can keep your savings and assets and still keep your Medi-Cal coverage. It is important to open and review any mail received from your county about your Medi-Cal coverage.

Does Medicaid cover dental in California?

Medi-Cal offers comprehensive preventative and restorative dental benefits to both children and adults. You can find a Medi-Cal dentist on the Medi-Cal Dental Provider Referral List, or by calling (800) 322-6384.

What will disqualify you from Medi-Cal?

Starting January 1, 2024, a new law in California will give full Medi-Cal to more people ages 26 through 49 who qualify for Medi-Cal. Unlike before, immigration status does not matter.

What is the new law for Medi-Cal in California?

The number you get is the amount of monthly income that is counted for the A&D FPL program. If it is less than $1,800 for individuals or $2,433 for a couple, then you qualify for free, full scope Medi-Cal based on A&D FPL rules.

Is dental coverage part of all Medicaid plans?

Dental health is an important part of people's overall health. States are required to provide dental benefits to children covered by Medicaid and the Children's Health Insurance Program (CHIP), but states choose whether to provide dental benefits for adults.

What is the 3 month rule for Medi-Cal?

Retroactive Medi-Cal covers unpaid medical expenses from the three months prior to the month you apply for Medi-Cal. If you have unpaid bills from the three previous months, enter that information during the application process.

For pdfFiller’s FAQs

What is Medicaid/MC+ Dental Services Coverage Notification?

Medicaid/MC+ Dental Services Coverage Notification is a formal communication required to inform Medicaid or MC+ about the dental services coverage for eligible individuals.

Who is required to file Medicaid/MC+ Dental Services Coverage Notification?

Dental service providers who deliver services to Medicaid or MC+ beneficiaries are required to file the Medicaid/MC+ Dental Services Coverage Notification.

How to fill out Medicaid/MC+ Dental Services Coverage Notification?

To fill out the Medicaid/MC+ Dental Services Coverage Notification, providers need to complete the designated form with accurate patient details, service information, and provider identification before submission.

What is the purpose of Medicaid/MC+ Dental Services Coverage Notification?

The purpose of the Medicaid/MC+ Dental Services Coverage Notification is to ensure that all dental services are appropriately documented and approved for reimbursement under the Medicaid or MC+ programs.

What information must be reported on Medicaid/MC+ Dental Services Coverage Notification?

The information that must be reported includes patient demographics, nature of dental services provided, dates of service, and provider details including name and Medicaid identification number.