DentaQuest Health Equity Hero program will honor Jim Mangia at a mobile vaccination event. At DentaQuest, we recognize the importance of access to quality dental services especially for children. Amber Bonnaig, DDS, dental director at DentaQuest, had the opportunity to present at the 2022 Black Maternal Health Conference and Training Institute. Your search will include information such as provider specialties, practicing locations and phone numbers. 96 Worcester Street Put those two together, and our dental offices are a pleasant place to be. Kamila Chytil, executive VP and COO at DentaQuest, shared her perspective on adjusting leadership styles with Profiles in Diversity Journal. 2005 - 2023 copyright of Anthem Insurance Companies, Inc. All services must be medically necessary. Kentucky State Dental Plans | Medicare, Medicaid, CHIP - DentaQuest Medical Policies & Clinical UM Guidelines, Healthcare Effectiveness Data and Information Set (HEDIS), Early and Periodic Screening, Diagnostic and Treatment (EPSDT), Kentucky Health Information Exchange, KHIE, CAQH (Council for Affordable Quality Healthcare) ProView. Provider Questions - (855) 824-5615 The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. That's important to help protect your teeth, gums and whole body. Welcome Anthem Medicaid Members | Anthem Separate or stand-alone dental plans cover routine preventive care to complex procedures like root canals. Search by name, location or specialty. Plus, learn about the importance of coverage for your whole family with our dental plan options that cover children, orthodontics, and dentures. One population that is severely underrepresented are American Indians/Alaskan Natives (AI/AN), making up only 0.3% of the workforce. Keep in mind, if you don't renew before the deadline, you may have a gap in health coverage. Virtual Care Visit with a doctor from your mobile device, 24/7. Kentucky Governor Andy Beshear has expanded Medicaid coverage to include dental treatment for adults beginning January 1, 2023. Simple steps to stop acids from damaging your tooth enamel will help you prevent cavities over time. Find a doctor search tool. Jimenez understands the importance of delivering excellence, one of DentaQuests five core values, and regularly emphasizes it to his team. www.availity.com. Download the Sydney Health mobile app Provider Enrollment or Recertification - (877) 838-5085KyHealth.net assistance - Gainwell Technologies - (800) 205-4696 Pharmacy Questions - (800) 432-7005 Pharmacy Clinical Support Questions - (800) 477-3071Pharmacy Prior Authorization - (800) 477-3071, Anthem- (800) 205-5870Aetna Better Health of KY-(855)300-5528Humana Healthy Horizons in Kentucky- (855) 852-7005Passport Health Plan by Molina Healthcare- (800) 578-0775United Health Care Community Plan- (800) 822-5353WellCare of KY- (877) 389-9457, 907 KARCabinet for Health and Family Services - DMS Title page, Provider Letter regarding Ordering, Referring Prescribing Providers, MAP-9 - Prior Authorization for Health Services and View or print your member ID card. Log In to Availity Don't have an Availity account? That goes double for dental plans for veterans. These services aim to address drivers of health, such as food insecurity, home safety, and social isolation. Every individual and family has different dental needs. For help with this, you can contact CAQH online or call CAQH at 1-888-599-1771. Gabbys passion for I/DD care is as infectious and inspiring as it is informative. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. Get help with quitting. Your insurance plan determines your coverage, co-pays & deductibles for each visit. The dental home model it is a great way to ensure consistent access to quality care for members of any type of dental insurance plan. PDF Medicaid Dentists in Northern Kentucky Updated 2/12/2020 If you work with people long enough, at some point youll come across an unhappy dental patient who is angry, upset or frustrated. Email a dental hygienist for personalized advice. We are working with patients and dental providers across the state to make oral health care more affordable and easier to access with a focus on prevention. Effective January 1, 2022, approximately 240,000 Medicare-eligible City of New York retirees across the United States will transition to Retiree Health Alliances NYC Medicare Advantage Plus plan and have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing. Anthem makes it easy to understand dental insurance plans and gives you the information you need to choose the right coverage for you. DentaQuest provides dentalcoverage to Medicaid-eligible adults and children who are members of Anthem BlueCrossBlueShield Kentucky. Optimizing and continuously improving these digital gateways is critical to ensuring a stellar customer experience. NKDS Medicaid Dentists - Northern Kentucky To better understand your coverage & your financial responsibilities, please speak with a representative of your insurance company. 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). Provider manuals and quick reference guides If you cant find your insurer on our site, give us a call at 262-965-3662. Availity, LLC is an independent company providing administrative support services on behalf of Anthem Blue Cross and Blue Shield Medicaid. Anthem Blue Cross Blue Shield Dentists Near Me in Lexington, KY - Zocdoc But if we really mean everyone, oral health equity must be a priority. You may also use the help of a licensed insurance agent to help you find Anthem dental providers in your area. Manuals, Policies & Guidelines | KY Provider - Anthem National Accounts, Posts about using health Insurance and managing your health, Collections of learning resources and links to services, For Sydney Health users connect with others and find care programs. 24 hours a day, 7 days a week Availity serves as the EDI partner for all electronic data and transactions from Anthem. Recent viral videos suggest using Mr. Clean Magic Eraser to whiten teeth and rubber bands to close teeth gaps, Health leaders in 12 states awarded for expanding access to equitable care during pandemic and beyond. Why is improving your patient communication skills important? To enroll or bill Kentucky Medicaid, dental service providers must be: Dental service providercoverage for adults is limited but includes oral exams, emergency visits, X-rays, extractions and fillings. Best Anthem Blue Cross Blue Shield Dentists Near Me | Zocdoc Answers to your medical questions any time, night or day, 1-855-661-2025 (TTY 711) 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. Vision and hearing care services will also be covered. Dental services are recognized by Kentucky Medicaid as Provider Type (60) individual or (61) group. Registered marks Blue Cross and Blue Shield Association. Keep your dentures clean and in good shape. Anthem members may log into an online portal to find participating dentists, dental offices and more. Take care of your teeth and gums for a healthy smile. Kentucky Health Information Exchange, KHIE. If your state isnt listed, visit www.bcbs.com for other coverage options. This site uses cookies and related technologies, as described in our privacy policy. PDF Kentucky Medicaid 2021 Managed Care Plans Report Card Anthem Blue Cross Blue Shield Kentucky - dentaquest.com You can request the member handbook in paper format, which is available without charge upon request within 5 business days, by contacting Member Services at 1-855-690-7784 (TTY 711) Monday through Friday 7 a.m. to 7 p.m. It requires a prescription. Talk to a licensed agent: Already a member? Visit docinfo.org to search for providers and find out where they went to medical school. For more information about DentaQuest and its participating providers, visit www.dentaquest.com or call member services at 855-343-7405. If you need more information please refer to the information section on the top right. Our food choices have a direct connection to another important part of our overall well-being our oral health. Claims Overview. LEXINGTON, Ky., October 01, 2021-Anthem Blue Cross and Blue Shield in Kentucky announced today expanded access to health and wellness services offered through many of its 2022 Medicare Advantage plans. However, we cannot give any guarantees for the hundred percent reliability of the data, as every day there are different kinds of changes in companies. Member Handbooks and Helpful Resources - Anthem 2021 Guide to Choosing Your Health Plan Comparing Kentucky Medicaid Health Plans Your health care is important. Talk to a licensed agent: Stay on top of oral health and overall wellness when you make the most of your dental appointment. I would recommend them to others. We consulted with two DentaQuest providers, to help understand the basics of oral cancer prevention and how we should be screening for it in our own mouths. Were committed to promoting preventive care and helping patients prioritize it beginning in early childhood and lasting throughout their adult life. We welcome Medicaid & most insurance plans at our dental offices. CareWiseprovides prior authorizations forfee-for-service (FFS) beneficiaries. Change PCP. KentuckyMedicaid currently contracts withGainwell Technologiesto process the KentuckyMedicaid FFS claims. You also must be enrolled in both Medicare Part A and Part B and be at least 65 years old for most plans. Welcome, Kentucky Members and Dentists DentaQuest is on a mission to improve the oral health of all. If you dont have a secure account, create one by entering your information on the Register page. We created this short video to show you how. Read important information about this change in the New York City Medicare Advantage announcement. 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. Visit any dentist you prefer or pay less when you choose a dentist from our extensive dental Preferred Provider Organization (PPO) network. Plan Name: Anthem BlueCrossBlueShield Kentucky. Most dental insurance plans have waiting periods for some procedures. That's why Anthem Blue Cross and Blue Shield Medicaid (Anthem) uses Availity, a secure and full-service web portal that offers a claims clearinghouse and real-time transactions at no charge to healthcare professionals. The National Commission on Disability (NCD) recently issued a report titled Medicaid Oral Health Coverage for Adults with Intellectual & Developmental Disabilities A Fiscal Analysis to President Biden. Dont Miss: Pueblo Dentists That Take Medicaid. Learn why having coverage is important and about your options for you and your family. DentaQuest, the nations largest provider of Medicaid and CHIP dental solutions, and TeamSmile, today announced the launch of the TeamSmile Dental Home Project powered by DentaQuest, a nationwide initiative that connects children in need with long-term dental care resources and dental teams. As neighbors came knocking for assistance, Anel Torres, a member advocate specialist at DentaQuest, took action to help provide clean water to the community. One particularly important tool for childrens oral health is dental sealants. You can use Availity to submit and check the status of all your claims . KentuckyMedicaid requires the use of CMS 1500 billing forms. In addition, NCQA also awarded the Multicultural Health Care Distinction to 16 other Medicaid health plans affiliated with Anthem Kentucky Medicaids parent company. Each MCO provides prior authorization for itsbeneficiaries. 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. Dentist Raleigh, NC 5.00 ( 5 reviews) " The experience at the office was very good. and Humana C.S. Here's how to keep gum disease from having a bad impact on pregnancy, childbirth and your baby. If you have any changes to your insurance information or your mailing address, please let us know. DentaQuest supports value-based care (VBC) care delivery models that reward providers for quality health outcomes rather than the quantity of care delivered. Anthems online tools for members make it easy to use and understand your dental health and dental insurance benefits. Recommended Reading: The Phone Number For Medicaid. For information on the Kentucky Medicaid program 1-800-372-2973 (TTY 1-800-627-4702) New Baby, New Life. Use the company's online search tool to find Anthem dental providers near you. Know what these are when choosing a plan. Online| Phone: 1-855-661-2028 | Fax: 1-800-964-3627, DentaQuest online| Phone: 1-800-508-6787. Medical Policies & Clinical UM Guidelines, Kentucky Cabinet for Health and Human Services: Department for Medicaid Services. Your one-stop-shop for prevention-focused best practices and education to encourage a lifetime of good oral health. When the state of Louisiana recently passed legislation to provide comprehensive adult dental benefits for people with intellectual and developmental disabilities (I/DD), it was cause for celebration. So prioritizing dental coverage should be a no-brainer, right? Type at least three letters and we will start finding suggestions for you. Dental Done Better approach aims to improve efficiency, care equity and member experience with a focus on digital engagement. As we celebrate Hispanic Heritage Month, we sat down with Dr. Bertha Alarcon, for a conversation about the importance of representation in dentistry. 4122 Shelbyville Rd, Suite H, Louisville, KY 40207 No upcoming availability on Zocdoc at this location for the appointment type selected. Find out how to have and keep a healthy smile. 2021 copyright of Anthem Insurance Companies, Inc. As a leader in managed healthcare services for the public sector, Anthem Blue Cross and Blue Shield Medicaid helps low-income families, children and pregnant women get the healthcare they need. Vaping harms the whole body, including your teeth and gums. Sun Life Financial Inc. (TSX: SLF) (NYSE: SLF), through its U.S. business, announced today the completion of its acquisition of DentaQuest, the second-largest dental benefits provider in the U.S. by membership. Follow the steps below to make your change. Please refer to the MCO if appealing anMCO claim. EDI provides a faster and cleaner method for delivering time-dependent data, saving you time compared to filing paper claims. Consider enrolling in a separate or stand-alone Anthem dental plan, which you can buy any time of the year. You May Like: Can I Check Medicaid Status Online. We are here to help. Americas ToothFairy, a nonprofit organization that provides resources to increase access to dental care and oral health education programs, is partnering with Sun Life and DentaQuest. Health Resources Find Care Choose from quality doctors and hospitals that are part of your plan with our Find Care tool. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. Using Blue Cross Blue Shield Dental Providers The Blue Cross Blue Shield dental providers that are accessible to you may depend on the type of Blue Cross Blue Shield plan in which you are enrolled. Understand what dental insurance covers so you can choose the plan that's right for you and your family. The awards recognize individuals and organizations working toward equitable access to oral care and optimal health outcomes, Collaborations with Americas ToothFairy and local community-based organizations foster increased awareness of beneficial oral health practices among children and their families. Many of Anthems Medicaid members in Kentucky have not previously had access to dental services or may have not been aware that they can access oral health benefits at no cost, said Cecelia Manlove, president of Anthem Blue Cross Blue Shield Kentucky Medicaid. Provider Maintenance Form Provider Relations Provider Relationship Management Territory Map East team Phone: 1-800-205-5870 option 3, option 1 West team Phone: 1-800-205-5870 option 3, option 2 Email a Provider Experience associate Instructions, MAP-9A - Kentucky Medicaid Program Orthodontic Services Agreement, MAP-306 - Temporomandibular Joint (TMJ) Assessment Form, MAP-396 - Kentucky Medicaid Program Orthodontic Evaluation Form, MAP-559 - Six Month Orthodontic Progress Report, MAP-700 - Kentucky Medicaid Program Orthodontic Final Case Submission. DentaQuest, the nations largest provider of Medicaid and CHIP dental solutions, today announced a $500,000 contribution to the Florida Disaster Fund, which assists Floridas communities as they respond to and recover during times of disaster. HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). Managing your health on the go with useful apps, Privacy Guidance When Selecting Third-Party Apps (English), Privacy Guidance When Selecting Third-Party Apps (Spanish). (all dental services) DentaQuest online | Phone: 1-800-508-6787. DentaQuest Contributes $115,000 to Support Free Pop-Up Dental Clinics Across the U.S. Medicare Advantage Can Close the Gap For Dental Plans For Veterans, DentaQuest Expands Access to Oral Health Care for Floridians in 3 Dental Deserts With Its Affiliated Organization, Advantage Dental+, Improving Access to Dental Health Care Through Case Management, DentaQuests Roxanne Martinez Recognized By Nations Largest Professional Hispanic Membership Association, Hispanic Heritage Month A Conversation with Dr. Bertha Alarcon, DentaQuest Recommended as Preferred Vendor by the Association for Community Affiliated Plans, Increasing Diversity in the Dental Field is Key to Solving Our Workforce Crisis, DentaQuest Donates $500,000 to Support Hurricane Ian Relief Efforts in Florida, Why Oral Health was a Focus at the Black Maternal Health Conference, DentaQuest and TeamSmile Launch New Dental Home Project, DentaQuest Selected by Partners Health Plan to Administer Dental Benefits for Individuals with Intellectual and/or Developmental Disabilities in New York, Tips Any Dentist Can Use When Caring for Patients With Intellectual And Developmental Disabilities, DentaQuests Steve Pollock and Susan Pollock Honored by the Massachusetts Association of Mental Health, Executive Spotlight: Kamila Chytil Adjusting Leadership Styles to Fit Todays Workforce, All you need is an open mind. A Dental Students Vision for I/DD Inclusive Dentistry, Health Equity Hero: Dr. Mary Martin and Smiles for Success, It Made My Heart Go Light Expanding Care for Adults with I/DD in Louisiana, Health Equity Hero: Louisiana Representative Rhonda Butler, Oral Health Tips for Patients with I/DD and Their Caregivers, Health Equity Hero: Dr. Alex Barrera Sets a New Standard for Inclusive Dentistry, Share Your Why - DentaQuest Customer Service with Jesus Jimenez, Health Equity Hero: Lori LaPorte and Oral Health in Substance Use Disorder Recovery, The Hero Behind DentaQuests Health Equity Heroes, DentaQuest Opens Nominations for 2022 Health Equity Heroes, DentaQuest Announces 2022 Health Equity Heroes: Disruptors in Health Systems, DentaQuest Applauds Virginia Medicaid Dental Fee Increase, DentaQuest and Presbyterian Health Plan Celebrate 25 Years of Partnership, How the DentaQuest Community Celebrates Pride, DentaQuests Chief Operations and Chief Human Resources Officers Named to Diversity Journals 2022 Women Worth Watching In Leadership, Share Your Why - DentaQuest's Case Management With Gonzalo Perez, Provider Perspective: Oral Health Care Tips For Treating Senior Patients, Sun Life Completes Acquisition of DentaQuest, Improving Dental and Mental Health Through Case Management, DentaQuests Hyon Leon Named to Profiles in Diversity Journals 2022 Asian Leaders Worth Watching, DentaQuests Brian Jones Named to TeamSmile Board of Directors, Understanding the Basics of Oral Cancer Prevention, Improve Patient Communications With Motivational Interviewing, Maternal Mortality: Making Strides Expanding Health Coverage, Nutrition and Oral Health Why You Should Assess Your Diet this National Nutrition Month, A Member Advocate Specialist Steps Up to Help a Community in Crisis, DentaQuest Statement on New Federal Report: Inclusion of Adult Dental Benefits for People with Intellectual and Developmental Disabilities Saves States Money, Statement from DentaQuest On International Womens Day Supports And Recognizes Women at DentaQuest And In The Oral Health Care Industry, Recognizing Women Dental Leaders for International Womens Day and National Dentists Day, DentaQuest Supports Safety Net Externships with $25,000 donation to WesternU College of Dental Medicine, Prioritizing Preventive Care: A Conversation With TennCare Providers, Recognizing Dentistry Leaders: Four Black Dentists Who Broke Barriers, Sealants Make Sense Not Just During Childrens Dental Health Month, DentaQuest to Continue Management of Oral Care for Florida Healthy Kids Enrollees Under New Contract, DentaQuest Earns URAC Dental Plan Accreditation, DentaQuest Earns 95/100 in Human Rights Campaign Foundations 2022 Corporate Equality Index, DentaQuests Steven Barefoot Presenting at 2021 New York Health Plan Association Annual Conference, The Dental Care Plus Group Appoints New Senior Leadership, DentaQuest Named a Great Place to Work-Certified Company. These enhanced and new benefits are part of Anthems approach of addressing whole health and its many drivers of health, helping our members be more proactive in their health, said Neil Steffens, President of Anthems Medicare Central Region. Sydney Care is offered through an arrangement with Carelon Digital Platforms, Inc. Sydney Health and Sydney Care are service marks of Carelon Digital Platforms, Inc., 2023. Find a Doctor. In Indiana, Anthem Blue Cross and Blue Shield is the trade name of Anthem Insurance Companies, Inc. Providers | Tools, Resources & More | Anthem.com Provider Spotlight We can help guide you through our dental plan options that cover braces, orthodontics, and dentures. As dentists reopen their practices during the COVID-19 pandemic, they are being provided with resources, guidelines and safety protocols from both the American Dental Association (ADA) and the Centers from Disease Control (CDC) for how to move forward. 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. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. This report card shows how Kentucky Medicaid's health plans compare to each other. The number is also on the back of your ID card. Because you shouldnt have to sacrifice your health, comfort or confidence. Find affordable dental insurance plans that are easy to smile about with Anthem. Program Summaryincludes a complete list of provider types we credential and those we do not. If the answer is yes, you are more likely to get another. Northern Kentucky Health Department 8001 Veterans Memorial Drive, Florence KY 41042 | 859-341-4264 | www.nkyhealth.org. Dental coverage for children includes oral exams, emergency visits, x-rays, extractions, and fillings. DentaQuest supports large-scale changes in policy and infrastructure to improve SDOH. For high quality dentistry and friendly service for your entire family, contact our Cold Spring or Anderson Township dental office to schedule an appointment.