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Am I Partnering with the Right Payors?

Mar 24, 2025

Whether you choose to offer all or select dental Medicaid plans, it’s important to consider which patients you want to serve to determine the best offerings for your practice.

Serving individuals and adults…

If you want to help provide for adults in your community who struggle to access dental care, Fee-For-Service, also known as Traditional Medicaid, includes coverage for:

  • Individuals with disabilities
  • Blind or visually impaired individuals
  • Seniors over the age of 65, and
  • Women with breast or cervical cancer

Missouri’s FFS plan, MO HealthNet, offers rates as high as and sometimes higher than traditional insurance plans while also helping support your community. View the current reimbursements and see how your practice can benefit from offering dental Medicaid.

Helping children and families…

Managed Care Plans serve eligible children, families, and pregnant women. With multiple plans to choose from, you can support a healthier community while maintaining profit margins.

All dental Medicaid plans offer the same service coverage with slight differences depending on the individual. For example, prior authorization requirements. See the current reimbursements for Managed Care Plans.

Remember, choosing to offer dental Medicaid through the Managed Care Plans does not mean you must also accept the plan’s PPO members. You choose who you serve.

Missouri Managed Care Plan Providers:

Need More?

If you’re still unsure which payors are right for you, watch our Medicaid Mini Series Session 2 – Meet Your Payors to learn more about your Medicaid payors.

For information regarding practitioner enrollment, visit our Missouri Dental Medicaid Enrollment Support for guidance and resources.

If you’re still unsure which plan best suits you, or have any other questions, contact Jessica Emmerich, your Medicaid Mentor at jemmerich@oralhealthmissouri.org or (573) 536-2474.