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CALIFORNIA MEDICAL DENTAL PROGRAM BASIC & EDI SEMINAR PACKETRevised 1/5/18 BPRLTRN006.OBPRLTRN006. Dear Identical Provider and Staff: Welcome! This seminar has been designed for dental providers and

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How to fill out california medi-cal dental program

01

Step 1: Gather all necessary documents such as proof of income, proof of residency in California, and identification.

02

Step 2: Visit the California Medi-Cal Dental Program website to download the application form.

03

Step 3: Fill out the application form with accurate and complete information, including your personal details, income details, and dental treatment needs.

04

Step 4: Attach all required documents to the application form.

05

Step 5: Submit the completed application and documents either online through the website or by mail to the designated address.

06

Step 6: Wait for the application to be processed. You will receive a notification regarding the status of your application.

07

Step 7: If your application is approved, you will receive a Medi-Cal Benefits Identification Card (BIC) and information regarding available dental providers.

08

Step 8: Contact a dental provider from the provided list and schedule an appointment for your dental treatment.

09

Step 9: Present your Medi-Cal BIC at the dental appointment to receive the covered dental services.

10

Step 10: Follow the dental provider's instructions and attend all necessary follow-up appointments.

11

Step 11: If you have any issues or questions regarding the program or your dental treatment, contact the California Medi-Cal Dental Program's customer service for assistance.

Who needs california medi-cal dental program?

01

The California Medi-Cal Dental Program is designed to serve low-income individuals and families who meet the eligibility criteria.

02

People who do not have access to dental insurance or cannot afford private dental treatment may benefit from the program.

03

Individuals who require dental treatment but have limited financial resources can apply for the program to obtain necessary dental care.

04

Children, pregnant women, elderly individuals, and individuals with disabilities may also be eligible for the California Medi-Cal Dental Program.

05

It is important to review the specific eligibility requirements and income limits to determine if you qualify for the program.

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What is california medi-cal dental program?

The California Medi-Cal Dental Program provides dental services to Medi-Cal beneficiaries in California.

Who is required to file california medi-cal dental program?

Dental providers who wish to participate in the California Medi-Cal Dental Program are required to file.

How to fill out california medi-cal dental program?

To fill out the California Medi-Cal Dental Program, providers must submit an application with the necessary information and documentation.

What is the purpose of california medi-cal dental program?

The purpose of the California Medi-Cal Dental Program is to provide affordable dental care to Medi-Cal beneficiaries in the state.

What information must be reported on california medi-cal dental program?

Providers must report their services provided, charges, and patient information on the California Medi-Cal Dental Program.

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