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Dental General Manual, Covered Services and Bulletins


Dental Manuals

Dental Manual (Effective 4.1.16)
Dental Fee Schedule
Dental Manual previous quarter (valid 1/1/16 - 3/31/16)

To search for specific information within the PDF document, select Ctrl F on your keyboard and type your keyword in the find box.

Dental Provider Workshop/Visits

Dental Provider Workshops and Visits 2016

Dental Providers are encouraged to send at least one staff member to attend the Medicaid Dental Workshop on May 6th in Cheyenne or in August in Cody/Jackson (TBD).  These workshops will be the same format as the workshops held last summer and will be a chance for providers to learn about Medicaid billing, updated policies, and web portal billing.  Please call Dental call center to register for one of the two workshops by April 29, 2016.  If you are unable to attend one of these two workshops, you may also view the workshop presentation on the Web Portal after May 13th, or you may request an on-site-provider-visit.  If you would like to request an onsite visit with a field representative, please contact the Dental call center at 1-888-863-5806 no later than April 29, 2016.  We look forward to seeing all dental providers this year.

Cheyenne Workshop May 6th

11:00 am - 3 pm

Century Link Building
6101 Yellowstone Rd
Cheyenne WY

Basement Conference room

A light snack will be provided

Important Dental Information/b>

2015 Manual Updates

6.2015 -   Dental Manual 6.2015
12/4/15 - Provider Manual Quarterly Updates
7/1/15 - Updated Interceptive Addition 10.2.23
2/19/15 - Updated Retention of Records Section 3.8.2, updated Chapter 9 Wyoming HIPAA 5010 Electronic Specifications, updated Benefit Plan Guide
1/28/15 - Updated Benefit Plan Guide Appendix and revised Section 10.3
1/26/15 - Revised Invoice Charges Section 6.4.1

Severe Crippling Malocclusion Program

SM Presentation 8.26.14
Interceptive Program 2.10.15
Web Portal Billing Presentation

Dental Bulletins and Forms

Additional Links

Medicaid and 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.
Carrier Code List: List of Insurance Carrier Codes and Names