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 healthy@la.gov and the appropriate staff will address any issues or concerns.
Dental Provider News
- 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)
- Informational Bulletin 21-22: Medicaid Dental Benefit Plan Manager Provider Issue Resolution
- 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
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
- Find a Dental Provider
- Managed Care Executed Contract
- MCE Fraud Notice Template
- MCE Member Fraud Referral Template
- MCE Provider Fraud Referral Template
- Quality Committee
Reporting Requirements
Financial Reporting
Report Formats
Companion Guides
- Dental Benefit Program Manager Systems Companion Guide (Updated October 7, 2020)
- Medicaid 834 Dental Benefit and Enrollment Transaction Set Companion Guide (Updated June 15, 2023)
- Marketing and Member Education Companion Guide
- State Fair Hearing Companion Guide
- Quality Companion Guide
Medicaid Program Links
- Louisiana Medicaid Dental Services Program
- Medicaid Self Service Portal
- Medicaid Services Chart
- Medicaid State Plan
Archived Materials