Delta Dental PPO - The DOW Chemical Company
... People with certain high-risk medical conditions may be eligible for additional prophylaxes (cleanings) or fluoride treatment. The patient should talk with his or her dentist about treatment. Having Delta Dental coverage makes it easy for our enrollees to get dental care almost everywhere in the w ...
... People with certain high-risk medical conditions may be eligible for additional prophylaxes (cleanings) or fluoride treatment. The patient should talk with his or her dentist about treatment. Having Delta Dental coverage makes it easy for our enrollees to get dental care almost everywhere in the w ...
Dental Provider Manual
... Some plans may change over time due to employer benefit changes, regulatory requirements, or policy requirements. For the latest updates, visit the UPMC Dental Advantage website at www.upmchealthplan.com/providers or call the Dental Benefits Advisory Team. Under the Affordable Care Act (ACA), select ...
... Some plans may change over time due to employer benefit changes, regulatory requirements, or policy requirements. For the latest updates, visit the UPMC Dental Advantage website at www.upmchealthplan.com/providers or call the Dental Benefits Advisory Team. Under the Affordable Care Act (ACA), select ...
Medicare Benefit Policy Manual Federally Qualified Health Center (FQHC) Services
... The statutory requirements that FQHCs must meet to qualify for the Medicare benefit are in section 1861(aa)(4) of the Act. No Part B deductible is applied to expenses for services that are payable under the FQHC benefit. An entity that qualifies as a FQHC is assigned a CCN in the range 1800-1989, an ...
... The statutory requirements that FQHCs must meet to qualify for the Medicare benefit are in section 1861(aa)(4) of the Act. No Part B deductible is applied to expenses for services that are payable under the FQHC benefit. An entity that qualifies as a FQHC is assigned a CCN in the range 1800-1989, an ...
Sept/Oct 2009, Volume 43, Number 5
... • Increase and diversify the number of individuals engaged in oral health research • Examine existing models of health care delivery addressing specific target groups and settings, e.g., elderly/nursing homes, children/schools • Explore strategies to improve data acquisition and analysis In ord ...
... • Increase and diversify the number of individuals engaged in oral health research • Examine existing models of health care delivery addressing specific target groups and settings, e.g., elderly/nursing homes, children/schools • Explore strategies to improve data acquisition and analysis In ord ...
Statutory Rule 1993 No. 326 Health and Personal Social Services
... approved by a postgraduate dental dean or a Director of postgraduate dental education as being a dentist who has the requisite skills and suitable practice facilities to enable him to act as a trainer; "assistant" means any dentist employed either whole-time or part-time under a contract of service ...
... approved by a postgraduate dental dean or a Director of postgraduate dental education as being a dentist who has the requisite skills and suitable practice facilities to enable him to act as a trainer; "assistant" means any dentist employed either whole-time or part-time under a contract of service ...
Provider Handbooks
... 2.2.12.1 Skin Sealants, Protectants, Moisturizers, and Ointments . . . . . . . . . . . . . . . . . . . DM-47 2.2.12.2 Diapers, Briefs, Pull-ons, and Liners . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DM-47 2.2.12.3 Diaper Wipes . . . . . . . . . . . . . . . . . . . ...
... 2.2.12.1 Skin Sealants, Protectants, Moisturizers, and Ointments . . . . . . . . . . . . . . . . . . . DM-47 2.2.12.2 Diapers, Briefs, Pull-ons, and Liners . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DM-47 2.2.12.3 Diaper Wipes . . . . . . . . . . . . . . . . . . . ...
... vary from one benefit plan to another. Please refer to the Benefit Matrix. It has accurate details for each benefit plan regarding copayments, rehabilitation benefits, DME benefits and mental health and chemical dependency benefits. The IPA is responsible for providing or arranging for all covered P ...
Guidelines For The Management Of Children Referred For Dental
... Clinical guidelines do not rob clinicians of their freedom, nor relieve them of their responsibility to make appropriate decisions based on their own experience and according to the particular circumstances of each patient. It is stressed that the standard of care requi ...
... Clinical guidelines do not rob clinicians of their freedom, nor relieve them of their responsibility to make appropriate decisions based on their own experience and according to the particular circumstances of each patient. It is stressed that the standard of care requi ...
The MDS and Dental Schools Address Opioid Abuse Prevention
... keep current and aware of the regulatory and legislative requirements for dental practice. They need to start out on the right foot as they continue down the dental career road. As you know, our new MDS Strategic Plan’s number one goal is “to help all members succeed.” Beginning practices and acqu ...
... keep current and aware of the regulatory and legislative requirements for dental practice. They need to start out on the right foot as they continue down the dental career road. As you know, our new MDS Strategic Plan’s number one goal is “to help all members succeed.” Beginning practices and acqu ...
TRICARE® Retiree Dental Program trdp.org
... you. And because TRDP network dentists accept lower fees, you’ll have more of your annual maximum to use for additional dental care. Just how much (in real dollars) can you save by seeing a TRDP network dentist for your care? Typically, for routine services like exams, x-rays and cleanings, your ave ...
... you. And because TRDP network dentists accept lower fees, you’ll have more of your annual maximum to use for additional dental care. Just how much (in real dollars) can you save by seeing a TRDP network dentist for your care? Typically, for routine services like exams, x-rays and cleanings, your ave ...
MASSACHUSETTS Tufts Medicare Complement HMO Plan
... For routine care, you should always call your PCP before seeking care. If you have an urgent medical need and cannot reach your PCP or your PCP's Covering Physician, you should seek care at the nearest Emergency room. Important Note: If needed, call 911 for emergency medical assistance. If 911 servi ...
... For routine care, you should always call your PCP before seeking care. If you have an urgent medical need and cannot reach your PCP or your PCP's Covering Physician, you should seek care at the nearest Emergency room. Important Note: If needed, call 911 for emergency medical assistance. If 911 servi ...
Broward County HIV Dental Assessment Form
... demonstrate the legacy of Medicaid programs that did not ensure access to pediatric dental care. Moreover, many indigent adults enrolled in Medicaid only have access to tooth extractions as a dental benefit. As a result, HIV+ adult patients receiving treatment in HIV clinics across the U.S. have num ...
... demonstrate the legacy of Medicaid programs that did not ensure access to pediatric dental care. Moreover, many indigent adults enrolled in Medicaid only have access to tooth extractions as a dental benefit. As a result, HIV+ adult patients receiving treatment in HIV clinics across the U.S. have num ...
Confidential PRSN-JDS 00073
... does not meaningfully rebut or alter any of my opinions. Dr. Dovgan’s lack of experience in correctional dentistry is reflected in his expert report in that he overlooks the forest for the trees. He addresses few of the fundamental problems and systemic issues that I identified in my report, leaving ...
... does not meaningfully rebut or alter any of my opinions. Dr. Dovgan’s lack of experience in correctional dentistry is reflected in his expert report in that he overlooks the forest for the trees. He addresses few of the fundamental problems and systemic issues that I identified in my report, leaving ...
SelectBlue Advantage DB-48 HCSC - Blue Cross and Blue Shield of
... Throughout this Policy, many words are used which have a specific meaning when applied to your health care coverage. These terms will always begin with a capital letter. When you come across these terms while reading this Policy, please refer to these definitions because they will help you understan ...
... Throughout this Policy, many words are used which have a specific meaning when applied to your health care coverage. These terms will always begin with a capital letter. When you come across these terms while reading this Policy, please refer to these definitions because they will help you understan ...
... The Manual is divided into sections stating Medi-Cal program requirements and regulatory/contractual standards to support you in providing high quality and comprehensive care to our members. Included in the Manual are references to MHC’s website at www.molinahealthcare.com where forms and prior auth ...
New Zealand Conditions of Practice handbook
... WARNING! It is an offence to practise if you are not registered with the Council. It is an offence to practise without an APC. Anyone practising without an APC risks disciplinary action and substantial fines. The statutory framework governing oral health practitioners is set out in the Health Practi ...
... WARNING! It is an offence to practise if you are not registered with the Council. It is an offence to practise without an APC. Anyone practising without an APC risks disciplinary action and substantial fines. The statutory framework governing oral health practitioners is set out in the Health Practi ...
... vary from one benefit plan to another. Please refer to the Benefit Matrix. It has accurate details for each benefit plan regarding copayments, rehabilitation benefits, DME benefits and mental health and chemical dependency benefits. The IPA is responsible for providing or arranging for all covered P ...
Appendix A – Amendment 18 Amendment to Plan of Benefits
... Certain health care services such as hospitalization, outpatient surgery and certain other outpatient services, require precertification with Aetna to verify coverage for these services. When you receive services from an out-of-network provider, you are responsible for obtaining the necessary precer ...
... Certain health care services such as hospitalization, outpatient surgery and certain other outpatient services, require precertification with Aetna to verify coverage for these services. When you receive services from an out-of-network provider, you are responsible for obtaining the necessary precer ...
Exhibit II-A - Managed Medical Assistance (MMA)
... residential treatment facilities. Assistive Care Services require a health assessment by a licensed practitioner establishing medical necessity for at least two of the four service components and the need for at least one specific service each day. Components are health support, assistance with acti ...
... residential treatment facilities. Assistive Care Services require a health assessment by a licensed practitioner establishing medical necessity for at least two of the four service components and the need for at least one specific service each day. Components are health support, assistance with acti ...
Veterans Affairs Dental Insurance Program Plan Benefits Booklet
... Participating VADIP Network Dentists Delta Dental’s VADIP offers you a wide selection of dentists from which to choose for your dental care. The expansive nationwide network of Delta Dental PPO dentists (DPO in Texas) allows you to experience optimum cost savings while getting the highest quality of ...
... Participating VADIP Network Dentists Delta Dental’s VADIP offers you a wide selection of dentists from which to choose for your dental care. The expansive nationwide network of Delta Dental PPO dentists (DPO in Texas) allows you to experience optimum cost savings while getting the highest quality of ...
California Dental Network Family Dental HMO California Dental
... Out-of-Pocket Maximum (OOPM) means the maximum amount of money that a pediatric age (child up to age 19) enrollee must pay for benefits during a calendar year. Out-of-Pocket Maximum applies only to the Essential Health Benefits for pediatric (children up to age 19) enrollees. Copayments for covered ...
... Out-of-Pocket Maximum (OOPM) means the maximum amount of money that a pediatric age (child up to age 19) enrollee must pay for benefits during a calendar year. Out-of-Pocket Maximum applies only to the Essential Health Benefits for pediatric (children up to age 19) enrollees. Copayments for covered ...
Analysis of the Texas Public Behavioral Health System
... receive a full continuum of services as defined under the Medicaid benefit. Public behavioral health delivery systems Department of State Health Services The DSHS system of care is the primary means for an indigent consumer to enter the behavioral health system, via the LMHAs or NorthSTAR, which ope ...
... receive a full continuum of services as defined under the Medicaid benefit. Public behavioral health delivery systems Department of State Health Services The DSHS system of care is the primary means for an indigent consumer to enter the behavioral health system, via the LMHAs or NorthSTAR, which ope ...
medi-cal provider manual
... This Provider Manual shall serve as a supplement as referenced thereto and incorporated therein, to your Molina Healthcare of California Services Agreement. The information contained within this Provider Manual is proprietary. The information is not to be copied in whole or in part; nor is the infor ...
... This Provider Manual shall serve as a supplement as referenced thereto and incorporated therein, to your Molina Healthcare of California Services Agreement. The information contained within this Provider Manual is proprietary. The information is not to be copied in whole or in part; nor is the infor ...
Oral Health Practitioner Recommendations
... 2. Dental hygiene collaborative practice settings - Settings and providers eligible for collaborative dental hygiene practice arrangements are permitted: A “health care facility, program, or nonprofit organization” is limited to a hospital; nursing home; home health agency; group home serving the el ...
... 2. Dental hygiene collaborative practice settings - Settings and providers eligible for collaborative dental hygiene practice arrangements are permitted: A “health care facility, program, or nonprofit organization” is limited to a hospital; nursing home; home health agency; group home serving the el ...