Prior Authorization and Post Procedure Authorizations Requests for Non-Orthodontic Services:
CT Medicaid Prior Authorizations
CO/Dental Benefit Management/BeneCare
PO Box 40109
Philadelphia, PA 19106-0109
Prior Authorization for Orthodontic Treatment Requests:
Orthodontic Case Review
C/O BeneCare Dental Plans
195 Scott Swamp Road, Suite 101
Farmington, CT 06032