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 and the appropriate staff will address any issues or concerns.
Dental Provider News
- 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)
Visit the DentaQuest website
Call DentaQuest 1-800-685-0143 (Monday - Friday, 7 a.m. - 7 p.m.)
TTY (Hearing Impaired): 1-800-466-7566
MCNA DENTAL
www.mcnala.net |
Call MCNA Dental: 1-855-702-6262 (Monday - Friday, 7 a.m. - 7 p.m.) |
TTY (Hearing Impaired): 1-800-955-8771 |
Resources
- Dental Benefit Program Manager Manual
- Dental Benefit Program Manager Accreditation Status
- Dental Independent Review
- Managed Care Executed Contract
- Find a Dental Provider
- Quality Committee
Reporting Requirements
Financial Reporting
- Financial Reporting Requirements
Report Formats
- Reporting Templates
Companion Guides
- State Fair Hearing Companion Guide
- Dental Benefit Program Manager Systems Companion Guide (Updated October 7, 2020)
- Marketing and Member Education Companion Guide
Medicaid Program Links
- Louisiana Medicaid Dental Services Program
- Medicaid Self Service Portal
- Medicaid Services Chart
- Medicaid State Plan
Archived Materials
- Dental Benefit Management program RFP and Evaluation Documents (2019)
- CMS Approves Dental Benefit Management Program
- Official RFP and Related Documents
- Dental Benefit Management Program Evaluation Materials
Find information about dental services covered under Washington Apple Health (Medicaid). On this page
Find an Apple Health dental provider near you.
Dental services for children
Apple Health (Medicaid) pays for covered dental services for eligible children, age 20 and younger. The Academy of Pediatric Dentistry (AAPD) recommends all children see a dentist by 12 months of age.
Some covered dental services include:
- Routine exams
- Cleaning
- X-rays
- Sealants
- Fillings
- Crowns
- Fluoride application
- Extractions (pulling teeth)
- Orthodontic services are available for children with cleft palate or other serious dental problems (covers medically necessary services with prior authorization).
Dental services for adults
Apple Health (Medicaid) pays for covered dental services for adults (21 years and older).
Covered dental services include:
- Routine exams
- Cleaning
- X-rays
- Fillings
- Fluoride application
- Extractions (pulling teeth)
- Nitrous oxide
- Other limited dental services, including:
- Periodontal (gum disease)
- Root canal (front teeth only)
- Dentures/partials
- Oral surgery
Dental services not covered for adults include:
- Bridges
- Crowns
- Implants
- Orthodontics
Developmental Disabilities Administration (DDA)
Clients with the DDA designation are eligible to receive all Apple Health dental services as well as some additional services and/or increased frequency of services. Examples include but not limited to the following:
- Exam - one additional per year all ages
- Cleaning – three times a year all ages
- Topical fluoride - an additional two times per year for adults
- Sealants - additional coverage for premolar teeth
- Stainless steel crowns - additional coverage for adults
Find a dental provider
- Visit DentistLink or call 1-844-888-5465.
- Find an Apple Health dental provider for children (InsureKidsNow).
- Find an Apple Health dental provider or call 1-800-562-3022.