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For Providers

The Department of Medical Assistance Services, the Virginia Dental Association, and the Old Dominion Dental Society have been working together to develop a new Medicaid/FAMIS dental program. After listening to dentists’ concerns about how dental benefits are administered under the current program model, Smiles For Children (effective July 1, 2005) was created and includes the following significant changes:

• 30% overall increase in fees! (28% overall increase in July, 2005; and an additional 2% in May, 2006)

• Dental services for all children are coordinated by a single administrator (i.e., no more switching between Managed Care Organizations (MCOs) and fee-for-service)

• Dedicated call center

• Flexible billing; prompt payment; industry-standard administration

• Flexible panel size (you determine the number of patients) Fee-for-service reimbursement

• Streamlined authorization requirements and simplified credentialing process

We need your participation. Interested providers, please call 1-888-912-3456 to speak with a Smiles For Children provider relations representative.

• Provider SFC Transportation Complaint Form (PDF)

• Medicaid Memos to Providers including Dental Providers

• Service Mark Information (PDF)

• Smiles for Children Dental Network Application/Agreement (PDF)

• Current Dental Rates (PDF)

• Frequently Asked Questions (PDF)

• National Provider Identifier (NPI) Frequently Asked Questions (PDF)

• Office Reference Manual (PDF)

• Orthodontic Criteria Index Form-updated (PDF)

• Doral Dental USA

• VDA/ODDS/DMAS Letter Announcing Rate Increase for Targeted Dental Services, May 1, 2006 (PDF)

• VDA/ODDS/DMAS letter to Endodontists (PDF)

• VDA/ODDS/DMAS letter to Oral Surgeons (PDF)

• Adult Dental Coverage

Interpreter Service Information

• Interpreter Service Reimbursement Procedure

• Interpreter Service Invoice Form

• Interpreter Service Resource List

Provider Training Presentations

• Provider Training Presentation: Spring 2008 (PPT)

• Provider Training Presentation: Fall 2007 (PPT)

• Provider Training Presentation: Spring 2007 (PPT)

• Provider Training Seminar, Fall 2006 (PPT)

Doral Provider Newsletters

• Newsletter: Spring 2008 (PDF)

• Newsletter: Winter 2007 (PPT)

• Newsletter: Summer 2007 (PPT)

• Newsletter: Spring 2007 (PDF)

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