Decoding the Codes 2024 Session Recap
Thank you for your interest in understanding the applicable codes for dental Medicaid patients. This session will give you a better understanding of which Medical Eligibility codes your patients are qualified to use based on their demographics.
Here is the Full Session Recording:
Medicaid Mini Series Session 4 - Decoding the Codes
Here are the Presentation Slides:
Need to Know:
What Are the Dental Medicaid Reimbursement Rates for My Patient?
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Frequently Asked Questions
Perhaps you have a few questions. Take a look at some that were commonly asked below. If your question isn't answered here, we're happy to help. Please email Jessica Emmerich and she will respond with the appropriate resources.
Does the Participant Need To Have Their Medicaid ID Card at the Appointment?
No, as long as you can verify who the person is and that they have Medicaid coverage, they can receive care. If a participant needs to request a new card or make any changes to their information, they can visit the Family Support Division
The Participant Says They Have Medicaid Coverage, but eMOMED Shows Them As Inactive.
What Should I Do?
Contact MO HealthNet Provider Communications (573-751-2896) to verify the participants coverage. The participant may have Spend Down or other recent changes to their account. Always confirm with MO HealthNet if you are unsure. Participant should contact their local Family Support Office or the Family Support Division for information about their Medicaid coverage.
How Often Do Participants Change Plans?
Not often, but it happens. So be sure to verify eligibility on the date of service so that you know which plan to bill. It is the provider's responsibility to verify Medicaid coverage on the date of service. Participant can change Managed Care plans with ‘just cause’.
For example – they can’t find a provider in their area that accepts their plan, they are relocating, and needs have changed, etc.
Additional Resources:
Three Steps to Determining Medicaid Eligibility