Denti-Cal
Dental Services are currently provided as one of the many benefits under the Medi-Cal program. This site provides access to Medi-Cal Dental Program provider bulletins, manuals, regulations and various forms. Also, a variety of important and timely information can be found throughout this site including: Beneficiary Services, Medi-Cal Eligibility, Publications, Provider Services, Outreach Services, Fraud and Abuse and the Health Insurance Portability and Accountability Act. You will also find answers to the most commonly asked questions. Provider and Beneficiary Telephone Service Center toll-free phone numbers are listed for both Beneficiaries and Providers in their respective sections, including TTY for the hearing impaired.
Please note: This Web site contains several documents in the Adobe PDF format. The free reader can be downloaded from the Medi-Cal WebTool Box or from Adobe at Adobe.com/Reader.
What's New
- CDT 2011-2012 Updates to FRADS, Pregnancy, Emergency Procedures, OBRA Beneficiary Emergency, and Exempt Dental Services New
- May 2012 Bulletin New
- New Dental Managed Care Expectations New
- Effective April 2, 2012 - Manual of Criteria (MOC) and Schedule of Maximum Allowances (SMA) Update
- Helpful Hints Guide for the Medi-Cal Disclosure Statement (DHCS 6207)
- Q2 2012 Seminar Schedule
- Medi-Cal Dental Provider and Billing Intermediary Application/Agreement
- Ten Percent Payment Reduction for Dental Services and Impact of Court Injunction
- Denti-Cal to Implement Ten Percent (10%) Provider Payment Reduction
- Provider Enrollment Forms Updated
- Revised Medi-Cal Disclosure Statement (DHCS 6207)
- Revised Medi-Cal Provider Agreement (DHCS 6208)
- Optional Adult Dental Services for Department of Developmental Services (DDS) Regional Center Consumers Restored
- Revised Medi-Cal Provider Disclosure Requirements for Compliance with 42 Code of Federal Regulations Sections 455.104 and 455.105
- Change to Adjudication Reason Code 028A
- HIPAA: Conversion to 5010
- Crossover Only Provider Form (MC0804)
- Medi-Cal Change of Location Form for Individual Physician or Individual Dentist Practices Relocating within the same County
Important Reminders
- Expanded Rules for NPI Usage
- Billing Tips
- Dental Periodicity Schedule for Children
- Elimination of Most Adult Dental Services Provider Frequently Asked Questions (FAQs)
- Elimination of Most Adult Dental Services Beneficiary Frequently Asked Questions (FAQs)
- Update your Patient Referral Information
- Providers Must Enroll and Be Approved by Denti-Cal before Rendering Services to Medi-Cal Beneficiaries
- Always Take Your BIC With You
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