Dental Services | Louisiana Department of Health
Source: http://dhh.louisiana.gov/medicaid/dental-services
Archived: 2026-04-23 17:10
Dental Services | Louisiana Department of Health
For Providers
Medicaid Providers
Dental Services
Dental Services
Effective January 1, 2021, the Louisiana Department of Health (LDH) has contracted with
DentaQuest
and
MCNA Dental
to provide dental benefits for qualified Medicaid enrollees. These plans are accountable to LDH and the state of Louisiana. Their contract requires adherence to detailed grievance and appeals requirements. Members have the right to appeal denied services, first to their plan, then to the State. There are also strict marketing guidelines that must adhere to with mandatory prior approval of marketing materials. LDH will monitor all complaints, grievances and appeals to assure that DentaQuest and MCNA Dental are accountable to the enrollees and the state. Complaints and any questions can be submitted by email to
[email protected]
and the appropriate staff will address any issues or concerns.
Dental Provider News
Informational Bulletin 25-6
: EPSDT Comprehensive Dental Benefit
Dental Incentive Payment Program (DIPP) Stakeholder Meeting Discussion – February 18, 2025
Dental Incentive Payment Program (DIPP) Stakeholder Meeting Discussion –
December 9, 2024
*CANCELED*
Dental Incentive Payment Program (DIPP) Stakeholder Meeting Discussion – November 25, 2024
Request for Proposals Stakeholder Engagement Session – November 22, 2024
Informational Bulletin 24-14
: Dental Sealant Policy Update
Informational Bulletin 23-20
: Update to Topical Fluoride Varnish Coverage for Dental Providers
Informational Bulletin 23-7:
Comprehensive Dental Care for Adults with Developmental or Intellectual
Disabilities Residing in an Intermediate Care Facility
Informational Bulletin 22-18
: Comprehensive Dental Care for Adults with Developmental or Intellectual Disabilities Enrolled in Home and Community Based Waivers (June 23, 2022)
Dental Provider Bulletin
(December 23, 2020)
Informational Bulletin 20-15
: Dental Members and Plan Choice vs. Provider Steering (July 9, 2020)
Dental Provider Bulletin
(July 9, 2020)
Informational Bulletin 20-11:
Teledentistry during the COVID-19 Declared Emergency (April 22, 2020)
DentaQuest
Visit the
DentaQuest website
, or Call
1(800) 685-0143
(Monday - Friday, 7 a.m. - 7 p.m.)
TTY (Hearing Impaired)
1(800) 466-7566
MCNA
Visit the
MCNA website
, or Call
1(855) 702-6262
(Monday - Friday, 7 a.m. - 7 p.m.)
TTY (Hearing Impaired)
1(800) 955-8771
Resources
Dental Benefit Program Manager Accreditation Status
Find a Dental Provider
Quality Committee
Louisiana Medicaid Dental Services Program
Dental Benefit Plan Independent Review
Independent Review Process
Process Presentation
Flow Chart
This process was established by revisions La-RS 46:460.90, et seq. to resolve claims disputes when a provider believes a Dental Benefit Plan Manager (DBPM) has partially or totally denied claims incorrectly. A DBPM’s failure to send a provider a remittance advice or other written or electronic notice either partially or totally denying a claim within 60 days of the DBPM’s receipt of the claim is considered a claims denial.
Effective August 1, 2018, there will be a $250 fee associated with an independent review request. If the independent reviewer decides in favor of the provider, the DBPM is responsible for paying the fee. Conversely, if the independent reviewer finds in favor of the DBPM, the provider is responsible for paying the fee.
The independent review process is only one option a provider has to resolve claims payment disputes with a DBPM. In lieu of requesting independent review, a provider may pursue any available legal or contractual remedy to resolve the dispute.
Remember to send in the Provider Appeal and Reconsideration Form to the DBPM before you ask LDH for an Independent Review. To access the form visit the appropriate DBPM's website or download the appeal form using the links below.
LDH Independent Review Request Forms for Mailing:
Dental Benefit Plan Independent Review Request Form
Mail to:
LDH/Program Operations and Compliance
P.O. Box 91283, Bin 32
Baton Rouge, LA 70821-9283
Attn: Dental Benefit Plan Independent Review
The Louisiana Department of Health (LDH) administers the independent review process, but does not perform the review of the disputed claims. When a request for independent review is received, LDH determines that the disputed claims are eligible for independent review based on the statutory requirements. If the claims are eligible, LDH will forward the claims to a reviewer that is not a state employee and is independent of both the DBPM and the provider. The decision of the independent reviewer is binding unless either party to the dispute appeals the decision to any court having jurisdiction to review the independent reviewer's decision.
The independent review process is only one option a provider has to resolve claims payment disputes with a DBPM. In lieu of requesting independent review, a provider may pursue any available legal or contractual remedy to resolve the dispute.
Related Information
Dental Independent Review Panel Meeting Agenda and Minutes Archive
Surgeon General
Evelyn Griffin, MD
Secretary
Bruce D. Greenstein
Powered by
Cicero Government
For Providers
Medicaid Providers
Dental Services
Dental Services
Effective January 1, 2021, the Louisiana Department of Health (LDH) has contracted with
DentaQuest
and
MCNA Dental
to provide dental benefits for qualified Medicaid enrollees. These plans are accountable to LDH and the state of Louisiana. Their contract requires adherence to detailed grievance and appeals requirements. Members have the right to appeal denied services, first to their plan, then to the State. There are also strict marketing guidelines that must adhere to with mandatory prior approval of marketing materials. LDH will monitor all complaints, grievances and appeals to assure that DentaQuest and MCNA Dental are accountable to the enrollees and the state. Complaints and any questions can be submitted by email to
[email protected]
and the appropriate staff will address any issues or concerns.
Dental Provider News
Informational Bulletin 25-6
: EPSDT Comprehensive Dental Benefit
Dental Incentive Payment Program (DIPP) Stakeholder Meeting Discussion – February 18, 2025
Dental Incentive Payment Program (DIPP) Stakeholder Meeting Discussion –
December 9, 2024
*CANCELED*
Dental Incentive Payment Program (DIPP) Stakeholder Meeting Discussion – November 25, 2024
Request for Proposals Stakeholder Engagement Session – November 22, 2024
Informational Bulletin 24-14
: Dental Sealant Policy Update
Informational Bulletin 23-20
: Update to Topical Fluoride Varnish Coverage for Dental Providers
Informational Bulletin 23-7:
Comprehensive Dental Care for Adults with Developmental or Intellectual
Disabilities Residing in an Intermediate Care Facility
Informational Bulletin 22-18
: Comprehensive Dental Care for Adults with Developmental or Intellectual Disabilities Enrolled in Home and Community Based Waivers (June 23, 2022)
Dental Provider Bulletin
(December 23, 2020)
Informational Bulletin 20-15
: Dental Members and Plan Choice vs. Provider Steering (July 9, 2020)
Dental Provider Bulletin
(July 9, 2020)
Informational Bulletin 20-11:
Teledentistry during the COVID-19 Declared Emergency (April 22, 2020)
DentaQuest
Visit the
DentaQuest website
, or Call
1(800) 685-0143
(Monday - Friday, 7 a.m. - 7 p.m.)
TTY (Hearing Impaired)
1(800) 466-7566
MCNA
Visit the
MCNA website
, or Call
1(855) 702-6262
(Monday - Friday, 7 a.m. - 7 p.m.)
TTY (Hearing Impaired)
1(800) 955-8771
Resources
Dental Benefit Program Manager Accreditation Status
Find a Dental Provider
Quality Committee
Louisiana Medicaid Dental Services Program
Dental Benefit Plan Independent Review
Independent Review Process
Process Presentation
Flow Chart
This process was established by revisions La-RS 46:460.90, et seq. to resolve claims disputes when a provider believes a Dental Benefit Plan Manager (DBPM) has partially or totally denied claims incorrectly. A DBPM’s failure to send a provider a remittance advice or other written or electronic notice either partially or totally denying a claim within 60 days of the DBPM’s receipt of the claim is considered a claims denial.
Effective August 1, 2018, there will be a $250 fee associated with an independent review request. If the independent reviewer decides in favor of the provider, the DBPM is responsible for paying the fee. Conversely, if the independent reviewer finds in favor of the DBPM, the provider is responsible for paying the fee.
The independent review process is only one option a provider has to resolve claims payment disputes with a DBPM. In lieu of requesting independent review, a provider may pursue any available legal or contractual remedy to resolve the dispute.
Remember to send in the Provider Appeal and Reconsideration Form to the DBPM before you ask LDH for an Independent Review. To access the form visit the appropriate DBPM's website or download the appeal form using the links below.
LDH Independent Review Request Forms for Mailing:
Dental Benefit Plan Independent Review Request Form
Mail to:
LDH/Program Operations and Compliance
P.O. Box 91283, Bin 32
Baton Rouge, LA 70821-9283
Attn: Dental Benefit Plan Independent Review
The Louisiana Department of Health (LDH) administers the independent review process, but does not perform the review of the disputed claims. When a request for independent review is received, LDH determines that the disputed claims are eligible for independent review based on the statutory requirements. If the claims are eligible, LDH will forward the claims to a reviewer that is not a state employee and is independent of both the DBPM and the provider. The decision of the independent reviewer is binding unless either party to the dispute appeals the decision to any court having jurisdiction to review the independent reviewer's decision.
The independent review process is only one option a provider has to resolve claims payment disputes with a DBPM. In lieu of requesting independent review, a provider may pursue any available legal or contractual remedy to resolve the dispute.
Related Information
Dental Independent Review Panel Meeting Agenda and Minutes Archive
Surgeon General
Evelyn Griffin, MD
Secretary
Bruce D. Greenstein
Powered by
Cicero Government