Providers

Is my provider in my dental carrier's network?

To see if your provider is in your dental carrier's network, please go to the Dental Wellness Plan 'Find a Provider' webpage. 
 

My current dental provider is not in my dental carrier's network, can I continue to see my dentist?

Each dental carrier has a list of providers in their network. You will want to make sure that your provider is within your dental carrier's network once you are enrolled in the Dental Wellness Plan program. You do not have to pay for covered dental services as long as you see a dental provider in your dental carrier's network who participates in the Dental Wellness Plan. If your provider is not enrolled with your dental carrier's network and does not participate in the Dental Wellness Plan, you will be responsible for any charges associated with the services that are provided.
 
Before receiving services from your providers, please show them your dental carrier card to let them know your chosen dental carrier. If your provider is not in your dental carrier's provider network, this is a 'Good Cause' reason to change your dental carrier. For more information about "Good Cause," please visit the "Good Cause" webpage.
 
If you do not wish to change your dental carrier, you may choose another provider within your dental carrier's provider network.
 

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?

You do not have to pay for covered services as long as you see a dental provider in your dental carrier's network who participates in the Dental Wellness Plan. If your provider is not enrolled with your dental carrier's network and does not participate in the Dental Wellness Plan, you will be responsible for any charges associated with the services that are provided.
 
Before receiving services from your providers, please show them your dental carrier card to let them know your chosen dental carrier. If your provider is not in your dental carrier's provider network, this is a 'Good Cause' reason to change your dental carrier. For more information about "Good Cause," please visit the "Good Cause" webpage.
If you do not wish to change your dental carrier, you may choose another provider within your dental carrier's provider network.
 

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?

No, the state will not pay. If your provider is not enrolled with your dental carrier's network and does not participate in the Dental Wellness Plan, you will be responsible for any changes associated with the services that are provided.
 
Before receiving services from your providers, please show them your dental carrier card to let them know your chosen dental carrier. If your provider is not in your dental carrier's provider network, this is a 'Good Cause' reason to change your dental carrier. For more information about "Good Cause," please visit the "Good Cause" webpage.
 
If you do not wish to change your dental carrier, you may choose another provider within your dental carrier's provider network.
 

Can I be billed from providers who are not participating with Medicaid or the dental carriers?

Yes. If your proider is not enrolled with your dental carrier's network and does not participate in the Dental Wellness Plan, you will be responsible for any charges associated with the services that are provided.
 
Before receiving services from your providers, please show them your dental carrier card to let them know your chosen dental carrier. If your provider is not in your dental carrier's provider network, this is a 'Good Cause' reason to change your dental carrier. For more information about "Good Cause," please visit the "Good Cause" webpage.
 
If you do not wish to change your dental carrier, you may choose another provider within your dental carrier's provider network.
 
 

Save a PDF Version of the entire FAQ

 


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.