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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 Network Application. (PDF)

• Smiles For Children Provider Agreement.

• Current Dental Rates

• Frequently Asked Questions (PDF)

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

• Office Reference Manual (Pdf-revised 02/09 )

• 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 Services Invoice – revised Feb 09

• Interpreter Service Resource List

Dental Advisory Committee

• Doral Presentation: DAC Meeting May 15, 2009 (PPT)

• Dental Advisory Committee Minutes: May 15, 2009 (PDF)

• Doral Presentation: DAC Meeting November 21, 2008 (PPT)

• Dental Advisory Committee Minutes: November 21, 2008 (PDF)

• Doral Presentation - Broken Appointments: DAC Meeting November 21, 2008 (PPT)

• Doral Presentation: DAC meeting April 11, 2008 (PPT)

• Dental Advisory Committee Minutes: April 11, 2008 (PDF) 

• Dental Advisory Committee  Members (updated) (PDF)

Provider Training Presentations

• Provider Training Presentation: Spring 2009 (PPT)

• Provider Training Presentation: Fall 2008 (PPT)

• Provider Orthodontic Training Presentation Summer 2008 (PPT)

• Provider Training Presentation: Spring 2008 (PPT)

Doral Provider Newsletters

• Newsletter: Spring 2009(PDF)

• Newsletter: Winter 2008(PDF)

• Newsletter: Summer 2008(PDF)

• Newsletter: Spring 2008 (PDF)

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Any information posted under the Smiles For Children website that contains dental CDT codes is subject to the copyright ruling listed below:

Current Dental Terminology (including procedure codes, nomenclature, descriptors and other data contained therein) is copyright © 2008 American Dental Association. All rights reserved. Applicable FARS/DFARS Apply.

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