Frequently Asked Questions


The Dental Wellness Plan program web pages provides you the latest information on the program so that you get the information you need to know. The Frequently Asked Questions are updated regularly to help you find answers to some of the important questions you may have regarding the program. Check this web page regularly for the most up-to-date information on the Dental Wellness Plan program.

Dental Wellness Plan Background Information

  • What is the Dental Wellness Plan?
  • Will I still receive Iowa Medicaid dental coverage before I transition to a dental carrier?
  • Who is included in the Dental Wellness Plan?
  • Who is excluded from the Dental Wellness Plan?
  • My child is on hawk-i, will they be enrolled in the Dental Wellness Plan program?
  • My child is Fee-for-Service (FFS), will they be enrolled in the Dental Wellness Plan program?
  • I have a senior dental plan. What is the difference between a senior dental plan and the Dental Wellness Plan?

Dental Wellness Enrollment

  • I received an enrollment packet/ enrollment letter, what do I need to do now?
  • Why does it say that I've already been assigned to a dental carrier?
  • How do I know which dental carrier is best for me?
  • What is my 'Choice Period End Date'?
  • How do I turn in my dental carrier choice?
  • What are the dates for making a dental carrier change?
  • When will my dental carrier change take effect?
  • What if I don't make a change by my Choice Period End Date but I want to later?
  • What happens if I don't choose a dental carrier?
  • Will I get a new ID card?
  • When will I receive an ID card from my dental carrier?

Benefits and Services 

  • What are my dental benefits?
  • How do I know if a service is covered or not?
  • Do I have a copay?
  • Can I receive Non-Emergency Medical Transportation (NEMT) for my upcoming dentist appointment?
  • How do I arrange a ride for a dental appointment?
  • If a member has a Prior Authorization for services, will it be honored by the dental carriers? If so, how long will it be honored?

Healthy Behaviors

  • What are the required Dental Healthy Behaviors?
  • Is there a paper copy or printable copy version of the Oral Health Self-Assessment that members can mail in?
  • Why do I have to complete both Healthy Behaviors?
  • What happens if I don't complete my Healthy Behaviors?
  • How much is the monthly premium?
  • What if I can't afford the monthly premium? Will I lose my benefits?
  • What if  don't claim financial hardship? Will I lose my benefits?
  • Members who do not complete their Healthy Behaviors and do not pay their monthly premium will receive reduced benefits only. Can the member pay their current month's premium to start receiving full benefits the following month?
  • I need to complete Healthy Behaviors each year to receive full dental coverage the following year. If I am receiving reduced benefits only, will my dental exam be covered so that I can meet the Healthy Behavior requirement for full benefits the following year?
  • Are there premiums for both Iowa Health and Wellness Plan and IA Health Link members through the dental carriers?
  • I am in the Iowa Health and Wellness Plan. Does a dental exam still count toward Healthy Behaviors for medical benefits?
  • Are members who have only dentures required to complete both Healthy Behaviors?
  • I have completed my Healthy Behaviors, why did I receive a statement?

Providers

  • Is my provider in my dental carrier's provider network?
  • My current dental provider is not in my dental carrier's network, can I continue to see my dentist?
  • What if I choose a dental carrier and my provider chooses a different dental carrier? Will my visit still be covered or will I have to pay out-of-pocket?
  • If a Dental Wellness Plan member sees a provider who is a registered Fee-for-Service (FFS) provider with IME, but not signed with any dental carrier and not willing to work with the dental carriers, will the state pay?
  • Can I be billed from providers who are not participating with Medicaid or the dental carriers?

Resources

  • How do I contact the dental carriers?
  • Where can I find important documents?

Iowa Medicaid Member Services (Monday to Friday from 8 a.m. to 5 p.m.)
1-800-338-8366 (Toll Free) 
515-256-4606 (Des Moines Area)
515-725-1351 (Fax)
 
For telephone accessibility assistance if you are deaf, hard-of-hearing, deaf-blind, or have difficulty speaking, call Relay Iowa TTY at 1-800-735-2942.
 
Llame al 1-800-735-2942, a Relay Iowa TTY (teléfono de texto para personas con problemas de audición, del habla y ceguera) si necesita asistencia telefónicamente.