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Dental Benefits and Services

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Announcements | Training and Reference Material | FAQs

At a Glance

Dental Services

Dental Services supports providers in delivering comprehensive oral health care to eligible beneficiaries. Services include preventive care, diagnostics, and restorative treatments. The program aims to improve access to dental services for children, families, seniors, and individuals with disabilities across Minnesota.

Training & Reference Materials

Dental Authorization Forms
  • DHS-3538 Dental Implants
  • DHS-6119-END TMD Dental Treatment
Dental Questionnaires
  • Oral Surgery Questionnaire - Printable Version II
  • Orthodontia Questionnaire
  • Periodontal Therapy Checklist
MHCP Provider Manual Page

Dental Services

Past Newsletters

Newsletters

November 13, 2024 - Vital Information for Authorization Submissions

May 5, 2025 - Oral Surgery Documentation Requirements

November 1, 2025 - Required Documentation for Extractions

December 1, 2025 - MN UM 2026 Provider Updates

Beginning January 1, 2026, Acentra will reduce turnaround times to 10 days for pended cases and 72 hours for expedited cases, with incomplete expedited requests now resulting in rejection. Expedited reviews only apply when delays could seriously impact a member’s life, health, function, or create risk of severe pain or emergency. A new Member Portal will launch, allowing Medicaid recipients to view authorizations and submit appeal documents. Providers are encouraged to use the Atrezzo Portal for faster, easier documentation submission and case communication. For more details see the attached newsletter above.

 

Frequently Asked Questions

Dental - General FAQ

Contact Us
MN SUD:MinnesotaASAM@acentra.com
Dental:DentalMNMedicaid@acentra.com
MN EMA: EMAMNMedicaid@acentra.com
MNproviderissues@acentra.com
P: (866) 433-3658
F: (866) 889-6512

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