Adult Medicaid Dental
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Access to Care and Treatment | Appropriate & Effective Dental Care | Dental Organization Operations | Dental Provider Network ManagementBack to top
Access to Care and Treatment
- Dental Service, Equipment and Supply Service Authorization Timely Determination Rate: New Routine Requests
- Dental Service, Equipment and Supply Service Authorization Timely Determination Rate: Post-Delivery Requests
- Dental Service, Equipment and Supply Service Authorization Timely Determination Rate: Urgent Requests
- Family and Friends Program NEMT Legs for Adult Dental Services
- Member Dental Appeals Received
- Member Dental Grievances Received
- Member Dental Services Authorized within 72 Hours Following a Reversed Appeal
- Requests for Assistance Accessing Dentists by County
- Requests for Assistance Accessing Oral Surgeons by County
- Resolution of All Member Dental Appeals within 45 Calendar Days
- Resolution of Dental Provider Appeals within 30 Calendar Days
- Resolution of Expedited Member Dental Appeals within 72 Hours
- Resolution of Extended Standard Member Dental Appeals within 45 Calendar Days
- Resolution of Member Dental Appeals by Disposition Type
- Resolution of Standard Member Dental Appeals within 30 Calendar Days
- Results of Scheduled NEMT Legs for Adult Dental Services by Outcome
- Scheduled NEMT Legs Delivered On Time for Adult Dental Services
- Timely Processing of All Member Dental Grievances
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Appropriate & Effective Dental Care
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Dental Organization Operations
- Dental Claims Quality Assurance: Dental Claims Financial Accuracy
- Dental Claims Quality Assurance: Dental Claims Payment Accuracy
- Dental Claims Quality Assurance: Dental Claims Processing Accuracy
- Dental Member Communications: Calls Abandoned
- Dental Member Communications: Calls Returned by the Next Business Day
- Dental Member Communications: Reasons for Telephone Inquiries
- Dental Member Communications: Speed to Answer Within 30 Seconds
- Dental Provider Communications: Calls Abandoned
- Dental Provider Communications: Calls Returned by Next Business Day
- Dental Provider Communications: Reasons for Telephone Inquiries
- Dental Provider Communications: Speed to Answer within 30 Seconds
- Family and Friends Program NEMT Legs for Adult Dental Services
- Interest on Late Paid Dental Claims
- Results of Scheduled NEMT Legs for Adult Dental Services by Outcome
- Scheduled NEMT Legs Delivered On Time for Adult Dental Services
- Timely Processing of All Clean Dental Claims: Ninety Days of Receipt
- Timely Processing of All Clean Dental Claims: Thirty Days of Receipt
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