Dentaquest headquarters in Boston, MA We want to remind Medicaid dentists that DentaQuest is starting a new protocol on February 1 for reviewing restorations done on the same tooth within 36 months. This includes prior authorization along with other criteria detailed below in a copy of the letter sent out to dentists in December. Codes that are affected are D2140, D2150, … [Read more...]
Capitation? DentaQuest and Brident Dental Agree on Alternative Payment Method
Dentaquest headquarters in Boston, MA We received a copy of this release from DentaQuest's Boston PR firm this morning. It appears DentQuest did continue to work with a large provider in Texas to come up with an alternative payment model. The details below are sketchy. DentaQuest Enters into First-of-its-Kind Value-Based Contract in Texas Alternative Payment … [Read more...]
Questions Linger about Capitation and DMO RFP
We've heard from various dentists that they have questions about controversial issues that have come up over the last several months. So we assume there are more out there that have the same questions or heard the same rumors. Primarily they are concerned about DMOs moving to a capitation plan as DentaQuest was seeking to do and what is currently happening with the RFP. So … [Read more...]
TDMR DMO Survey 2018 Results: MCNA Improves, DentaQuest Has More Problems, Dentists Frustrated
We have closed our revised 2018 Dental Management Organization annual survey and are today giving you the results. Our survey sample is not that large, unfortunately. At the end of the day, only 39 providers entered the survey as we decided to ask for actual names and provider numbers to prevent possible false responses. Consequently, it is more than likely that those … [Read more...]
DentaQuest Now Promoting Capitation Payments Instead of Fee-for-Service to Some Providers
TDMR has confirmed rumors that a number of Texas dental providers have been approached by DentaQuest to change their payment method from managed fee-for-service to capitation. Capitation to "share the financial risk" with providers A capitation payment is a fixed amount of money per patient per unit of time paid in advance to a healthcare provider for the delivery of … [Read more...]
DMO Request for Proposals Coming?
TDMR has been asked several times recently if we have any knowledge of an upcoming RFP (request for proposals) for dental management organizations. There have been rumors flying around for well over a year now that Texas Health and Human Services would be putting out such an RFP at some point. Back in the day, late 2016, we even talked with someone at HHS about this and … [Read more...]
DentaQuest’s $10,000 donation to Memorial Hermann Foundation Supports Mobile Dental Program in Houston Schools
HOUSTON, Nov. 28, 2017 /PRNewswire/ -- DentaQuest, the leading purpose-driven oral health company and the largest Medicaid dental benefits administrator in the nation, has donated $10,000 to the Memorial Hermann School-Based Health Centers' mobile dental program. This donation marks the latest in DentaQuest's outreach to strengthen the Houston community, including $1 million to … [Read more...]
DentaQuest Donates One Million Dollars to Support Hurricane Harvey Relief Efforts In Texas
DentaQuest, the leading oral health company in the United States and the largest in the Medicaid space, wired one million dollars today to the Rebuild Texas Fund launched by The Michael & Susan Dell Foundation. With this donation, DentaQuest joins other industry leaders who have answered Texas Governor Greg Abbotts’ call to raise private donations for the long-term recovery … [Read more...]
DentaQuest Sues Arkansas Procurement Director Over Dropped Medicaid Bid
Procurement Director Edward Armstrong must have a feeling of deja vu.Disclosure provisions in the state’s competitive bidding process have landed him in the hot seat again, this time as a defendant in a lawsuit filed last week by DSM USA Insurance Co. Inc. of Boston, better known as DentaQuest.The complaint, filed by the McDaniel Richardson & Calhoun law firm in Pulaski … [Read more...]
Dentaquest sues in Arkansas to toss Medicaid pick
A Boston company has asked a judge to overturn an Arkansas official's decision that resulted in the firm losing a bid for a multimillion-dollar contract to manage dental benefits for Medicaid recipients. In a lawsuit filed Monday in Pulaski County Circuit Court, DentaQuest contends that state Procurement Director Edward Armstrong erred in February when he disqualified the … [Read more...]