This manual describes policies and procedures that govern our administration of dental benefits for Molina programs. We make every effort to maintain accurate information in this manual, however we will not be held liable for any damages due to unintentional errors. If you discover an error, please report it to Provider Services at (844) 862-4564. Dental Office Reference Manual Dental Program Administered by: DentaQuest of Illinois, LLC Dental Office Reference Manual Date: June 2020 Revision History Date Reason for Revisions Policies and procedures as of June 2020. Published: June 5, 2020 Updated information since last DORM issued "DentaQuest" shall refer to DentaQuest of Personal Dental Plan. Our lowest cost dental plan provides 100% coverage for important preventive and diagnostic dental services. Your Monthly Cost Starts as Low as. $14.08. Get Started with Your Dental Quote. Please enter your information for exact pricing and to begin enrolling in a plan today. Enter your zip code. and the DentaQuest Partnership for Oral Health Advancement (DQP) ADHA . PART 1: PREPARING THE DENTAL CLINIC PRIOR TO PATIENT APPOINTMENTS. POLICIES AND PROCEDURES YES N/A SOURCE. Tasks associated with different exposure risk levels have been identified. OSHA . Written policies have been developed and implemented that address at least the following: Compliance with DentaQuest and Health Plan Policies and Procedures. Provider shall comply with all policies and procedures of DentaQuest and Plan including, without limitation, written standards for t IHCP Provider Code Tables. Click "Launch Provider Code Tables" on the Code Sets page of this website to view published code tables related to general billing and claim processing, billing for certain services or provider types, or specific coverage policies for certain benefits and programs. Welcome to the Safety Net Dental Clinic Manual: Second Edition, designed to help safety net dental clinic staff with all aspects of clinic development and ongoing operations.This manual is designed for all staff—whether experienced clinic directors, new administrators, or somewhere in between. Operating a safety net dental clinic can be challenging, and this manual was designed to help with Dental Policy and Procedure Code Manual Version 2022 (effective 01/01/2022) Page 7 of 88 Section II - Dental Services Dental Care in the Medicaid program shall include only ESSENTIAL SERVICES rather than comprehensive care. The provider should use this Manual to determine when the Medicaid program considers dental services "essential". Our web portal offers a variety of resources making it easy for our clients and dentists to work with DentaQuest. Our portal lets you: Submit claims and authorizations; Check member eligibility status; View up-to-date payment information; Upload necessary documentation; Review claims status ; Check benefits Procedure code information is under review, and may be revised later, but has not changed and is still in section 4. Section 4 can be accessed by clicking on the link that is included at the end of the program overview of each revised manual. Description: Link to Policy And Procedures Manual for SC Medicaid. For your convenience, you may also call the DentaQuest's Provider Services hotline at . 1-800-341-8478. Office Reference Manual (ORM) For additional information related to DentaQuest's policies, procedures, and overall