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Attachment 1 Sample ContractCONTRACT #19PSX0099 Between STATE OF CONNECTICUT Acting by department OF ADMINISTRATIVE SERVICES AndCONTRACTORHEALTH AND HUMAN SERVICES (HHS) ENTERPRISE OPERATING MODEL

How to fill out dental services managed care

How to fill out dental services managed care

1. Gather all necessary information and documents, such as insurance information, identification, and any relevant dental records.
2. Research and select a dental services managed care provider that fits your needs and preferences.
3. Contact the chosen provider to schedule an appointment or inquire about the enrollment process.
4. Fill out any required forms or applications provided by the managed care provider.
5. Be sure to provide accurate and up-to-date information on the forms, including personal details and dental history.
6. If there are any specific dental services or treatments you require, make a note of them on the forms or discuss them with the provider during the enrollment process.
7. Review the completed forms thoroughly before submitting them, ensuring all information is correct and legible.
8. Submit the filled-out forms along with any supporting documents as instructed by the managed care provider.
9. Follow up with the provider if needed to confirm receipt of the forms and to inquire about the next steps in the enrollment process.
10. Once enrolled, familiarize yourself with the coverage and benefits provided by the dental services managed care plan to make the most of your dental healthcare.

Who needs dental services managed care?

1. Individuals who want an organized and cost-effective approach to dental care.
2. People who want to have access to a network of dental providers who have agreed to provide services at reduced rates.
3. Individuals who prefer to have their dental services covered by insurance or a managed care plan.
4. Those who require regular preventive dental care or have ongoing dental issues that need management and treatment.
5. Families or individuals who want the convenience of a coordinated system for scheduling dental appointments and accessing necessary services.
6. People who value the ability to budget and plan for dental expenses through a managed care plan.

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What is dental services managed care?

Dental services managed care is a system in which dental care providers agree to accept contracted fees for services provided to patients who are enrolled in a specific managed care dental plan.

Who is required to file dental services managed care?

Dental care providers who are participating in a managed care dental plan are required to file dental services managed care.

How to fill out dental services managed care?

Dental care providers must accurately report all services provided to patients enrolled in the managed care dental plan, including procedures, fees, and patient information.

What is the purpose of dental services managed care?

The purpose of dental services managed care is to control costs, improve access to dental care, and ensure quality of care for patients.

What information must be reported on dental services managed care?

Dental care providers must report details of services provided, fees charged, patient information, and any other relevant data required by the managed care dental plan.