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Serving Wyoming EqualityCare Providers

 

 

Dental General Manual, Covered Services and Bulletins

 

Dental Manuals

Dental Manual
Dental Covered Services

 

Important Policy Changes/Additions (Not Previously Communicated)

  • Appeal of Timely Filing, Exceptions to the Twelve-Month Limit Section 6.20.1: When a client is determined to be eligible on appeal, reconsideration, or court decision the clients claims must be submitted within six (6) months of the date of the determination of retroactive eligibility. Review this section for complete policy and documentation requirements.

Dental Bulletins

Additional Changes Dental Bulletin 08/27/2009 (188K)
3rd Qtr 2009 Health Check (1MB)
Dental Code Change Bulletin
2010 Budget Letter
IVR/Email Communication DENTAL Bulletin (199KB)
HealthCheck Newsletter 05/07/2009 (2MB)
Dr. Sherard OIG Exclusions Letter (110K)
PERM Letter 01/29/2009 (101K)
PERM Brochure 01/29/2009 (163K)
Health Check - EPSDT 09/25/08 (254K)
Tamper Resistant RX Pads 10/23/07 (366K)
Tamper Resistant RX Pads 8/23/07 (320K)
Dental Health Newsletter 8/2007 (32K)
Health Check Q1 2007 (305K)
Dental Letter - 2/2/2007 (56K)
ADA Sample Claim Form - 2/2/2007 (158K)
Adult Dental - 6/5/2006 (198K)
Indirect Pulp Caps-D3120 08/25/2005 (322K)

Additional Links

EqualityCare & State Healthcare Benefit Plans: Provides client benefit plan names, descriptions, eligibility limitations, coverage types and coverage limitations. This information is useful when determining if a client is eligible for services.
Explanation of Benefit Codes (EOB) Code Listing: Lists the EOB code and description. This is helpful when working the remittance advice.
NPI News and Information: Provides historical transition information, billing instructions and examples, etc.

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