Attention Dental Providers: Service Interruption

BeneCare is currently experiencing an outage with their internet and phone systems. There are a limited number of call center representatives who can take calls but are unable to provide information in relation to claims, prior authorizations (PA) and client eligibility status. Some of the calls are being diverted to another call center, however, they are also unable to provide client eligibility information, PA status or if a client has reached the adult benefit maximum.

BeneCare will provide updates to their operational status on their website at https://ctdhp.org. Eligibility verification, Dental Annual Benefit Maximum limit and PA status can be confirmed by the provider signing into their secure web portal at www.ctdssmap.com and selecting either “Eligibility” or “Prior Authorization” on the menu bar or selecting “Client Eligibility Verification” or “Prior Authorization Inquiry” under quick link on the right-hand side.

We apologize for the inconvenience and ask that you try your call again, at a later time, if possible. Please check this Web site often for updated information on when this issue is expected to be resolved. We apologize for the inconvenience and BeneCare is working diligently to resolve this issue.

For HUSKY Dental Providers:

For Claims Payment related issues, please call the Gainwell Helpline at 1-800-842-8440

Emergency Prior Authorizations may be called into the Provider Services Prior Authorization line at 888-445-6665.

Prior Authorization and Post Procedure Review can be submitted via standard mail. The standard ADA Claims Form and all required supporting documentation may be sent to CTDHP / BeneCare at:

CT Medicaid Prior Authorizations
c/o Dental Benefit Management/BeneCare
555 City Ave East, Suite 600
Bala Cynwyd, PA 19004

Orthodontic Prior Authorization requests can be sent to:

Orthodontic Case Review
c/o BeneCare Dental Plan
195 Scott Swamp Road Suite 101
Farmington, CT 06032

Please note, decisions regarding the prior authorization request are provided and posted within fifteen business days of receipt.   Allow for delays with the U.S. Postal Mail Service.

This provider bulletin (PB) will supplement guidance found in PB 2023-69 “UPDATED: Addition of Periodontal Benefits and clarify the dental examination parameters and requirements for the submission of prior authorization requests for Periodontal Services. According to the 2024 Current Dental Terminology (CDT) coding, the following codes should be used under different circumstances.

Read the Policy Bulletin Here

Effective for dates of service January 1, 2024, and forward, the Department of Social Services (DSS) will pay for select Periodontal Procedure Codes for the evaluation and non-surgical treatment and non-surgical management of Periodontal Disease, regardless of whether surgical intervention may be recommended or required in the future. The select Healthcare Common Procedure Coding System (HCPCS) for the current Dental Terminology (CDT) periodontal procedure codes have been added to the Dental Adult and Dental Pediatric fee schedules.

The changes apply to services reimbursed under the HUSKY A, B, C, D and Covered CT programs.

Policy Bulletin

Provider Frequently Asked Questions

Are you, or your staff, in need of a refresher in current Connecticut Medical Assistance Program
dental policies and claims procedures? This workshop will provide you and your staff with an
understanding of recent changes to Dental billing and how claims are processed today. We
encourage you and your staff to attend.

Virtual training dates:  December 14th and December 18th

Read more and Register Here.

 

Dear HUSKY Health Dental Practitioner,

We have now launched our new and improved online survey for dentists and dental practices that serve the HUSKY Health (Medicaid) and Covered CT populations in Connecticut.

The Survey closes on Thursday, November 30, 2023 (now December 31st) and is available on the Provider Login Page on ctdhp.org. The survey should take about 10 minutes to complete. We know you are busy, but survey completion is needed to allow us to provide the most appropriate referrals to your office. So complete it as soon as you can.

Your input enables Connecticut Dental Health Partnership Member Service representatives to assist HUSKY Health members, by giving them dental referrals that best meet their needs. That in turn improves the quality of the referrals you will receive.

Please click this link and log in to get started.