Welcome, DentaQuest Dentist

to do checklist imageRequired Provider Trainings - Due December 31st!

Annual trainings are updated annually in the Fall and should be completed each year no later than December 31st.

Trainings last updated: October 2022

 

Join Our Network

If you are a provider participating in BCBSM Healthy Kids, Aetna, Meridian, WellCare Advantage or Dental Care Plus you can enroll online with DentaQuest. For all other BCBSM plans, please contact your administrator to enroll.

Enroll by Mail

We encourage you to complete your credentialing application online.  However, we understand an online solution is not everyone’s preference. you prefer to complete a paper application, please call your provider relations representative.

 

CAQH Sign Up

The Council for Affordable Quality Healthcare (CAQH) offers a single credentialing application and an online database that contains information necessary for insurance companies to credential a provider. This allows you to submit and maintain your credentialing information at one location rather than filing with many organizations. There is no cost to file an application with CAQH and it can be completed online. Click here to visit the CAQH website.
 

CHAMPS notice

All providers who serve Michigan Medicaid beneficiaries are required to enroll in CHAMPS in order to receive payment from Dental Health Plans

For dates of service on or after January 1, 2019, MDHHS will prohibit contracted Medicaid Health Plans and Dental Health Plans from making payments to providers not actively enrolled in CHAMPS. Please take immediate action to enroll in CHAMPS or renew your enrollment if it has expired. You must revalidate your information with CHAMPS every 5 years.

To enroll in CHAMPS: To review instructions on this process:  If you have any questions or need assistance with enrollment, please contact the Medicaid Provider Help Line 800-292-2550 or email ProviderEnrollment@michigan.gov or providersupport@michigan.gov.
 
 

News & Updates

We are pleased to announce that on March 1, 2023, DentaQuest will begin to administer the dental benefits for Molina Health Plan in Michigan.

The Desk Reference Guide and Office Reference Manual will be available on the provider web portal under related documents and on this page under Provider Resources.

Once the plan is live, you will be able to check and confirm eligibility of members by using the DentaQuest provider web portal at https://govservices.dentaquest.com.

MI Health Link
MI Health Link is a complete integrated health care program for Michigan residents who qualify for both Medicare and Medicaid. This program allows its members to use one plan for both medical and dental while reducing the administrative burden for providers by allowing simple navigation of the benefits and services for this population. As a participating provider for DentaQuest you are auto enrolled to accept our plans, there is nothing further required from your office to participate.

There are two plans:
  • Aetna Better Health Dual Premier
  • Meridian Complete dual-eligible
MI Health Link is only available to members who reside in the following counites: Barry, Berrien, Branch, Calhoun, Cass, Kalamazoo, Macomb, St. Joseph, Van Buren, Wayne, or any county in the Upper Peninsula.

The program highlights using one card for both medical and dental and offering no-copays or deductibles for in-network services.

Aetna Better Health plan changes
As of January 1, 2022, there were benefit changes to the Aetna Better Health Plan. These changes can be found in the updated Office Reference Manual, available on the provider web portal at https://govservices.dentaquest.com. To ensure appropriate reimbursement, please continue to verify eligibly and coverage via the provider portal or the provider services line at 844-870-3977 prior to rendering services for all DentaQuest members.

New for 2022 – Aetna Broken Appointment Program
DentaQuest, along with Aetna Better Health, has developed a broken appointment program. This program focuses on educating and rescheduling patients who have missed a dental appointment. To learn more about this program please refer to the provider web portal for further information.

Meridian Health Plan Updates
As of January 1, 2022. There were benefit changes made to the Meridian Health Plan. These changes can be found in the updated Office Reference Manual, available on the provider web portal at https://govservices.dentaquest.com. To ensure appropriate reimbursement, please continue to verify eligibly and coverage via the provider portal or the provider services line at 844-870-3977 prior to rendering services for all DentaQuest members.

Meridian Dental Home
The Purpose of a Dental Home is to build a strong relationship between patients and their primary care dental provider. The program is designed to send members a post card identifying their Dental Home and ways to change it, if desired. Members do not have to be assigned to your office to receive treatment however, they must be eligible, and you must be actively participating in the plan for reimbursement. Member rosters can be found on the provider web portal.

MI Dental Care Plus Office Reference Manual update
The MI Dental Care Plus (DentaTrust & DentaSpan) Office Reference Manual has been updated, effective 1/1/2020, with a new subgroup and procedure codes. Please visit the "provider resources" section to review the new ORM in detail.

 

Contact Information

DentaQuest Customer Service: 844-870-3977
DentaQuest Credentialing Help Desk: 800-233-1468