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Transforming the dental industry with a platform built to connect all dental stakeholders in one place to solve problems and change how dental business gets done.

Ohio Provider Alerts

Molina Dental Services OH Provider Training 2026 (248 KB)

OH Medicare 2025 Provider Manual (957.67 KB)

OH Medicaid 2025 Provider Manual (1.15 MB)

OH MMP 2024 Provider Manual (402.84 KB)

ODM/PNM Revalidation Reminder/Instructions (115.95 KB)

Focused Training - Ortho (204.97 KB)

Focused Training - PNM 12/10/2024 (166.42 KB)

Focused Training - PNM 12/10/2024 (166.42 KB)

Focused Training - Authorization Requirements 9/26/2024 (170.78 KB)

2023_1_Next_Gen_Launch_final_for_fax (328.35 KB)

Optum-Change Healthcare Bulletin (42.16 KB)

MHO 3371 Authorization Reconsideration Request Form_final_for_comm (155.9 KB)

UM-2-4000.1-MOLINA-OH-D - Utilization Review Criteria - Diagnostic Services (168.11 KB)

UM-2-4000.2-MOLINA-OH-D - Utilization Review Criteria - Preventative Services (161.08 KB)

UM-2-4000.3-MOLINA-OH-D - Utilization Review Criteria - Restorative Services (184.4 KB)

UM-2-4000.4-MOLINA-OH-D - Utilization Review Criteria - Periodontic Services (171.53 KB)

UM-2-4000.5-MOLINA -OH-D -Utilization Review Criteria - Prosthodontic Services (179.55 KB)

UM-2-4000.6-MOLINA-OH-D - Utilization Review Criteria - Oral Surgery Services (184.29 KB)

UM-2-4000.7-MOLINA-OH-D - Utilization Review Criteria - Orthodontic Services (180.88 KB)

UM-2-4000.9-MOLINA-OH-D - Utilization Review Criteria - Other Services (140.42 KB)

UM-2-4000.10-MOLINA-OH-D - Utilization Review Criteria - Endodontic Services (172.21 KB)

UM-2-4000.3-MOLINA-OH-D - Utilization Review Criteria - Restorative Services Molina_0 (184.4 KB)

UM-3-4310.2-Molina-OH-D-Provider Claim Disputes (174.86 KB)

CPSE March 2024 (305.96 KB)

Ohio Archive Documents

OH Medicaid 2024 Provider Manual (1005.09 KB)

Nebraska Provider Alerts

2026 NE Provider Manual (1.5 MB)

Dental Prior Authorizations Grid (40.54 KB)

NE Bulletin - Guidelines for Dental Service Prior Authorization Extensions (111.18 KB)

Optum-Change Healthcare Bulletin (42.7 KB)

EFT Form (237 KB)

NE AOR Form (35.22 KB)

NE Provider Information Form (302.31 KB)

NE Non_Covered Service Agreement (117.13 KB)

NE Provider Appeal Form (79.33 KB)

NE PCD Change Form (179.99 KB)

NE Ortho TOC Form (111.13 KB)

NE HLD Form (559.21 KB)

NE Ortho Case Tool (81.06 KB)

NE Guidelines for Sedation (151.6 KB)

NE Guidelines for Service Rendered in Outpatient or ASC (133.22 KB)

NE Newsletter - Crowns PAs (137.07 KB)

NE Newsletter - D4341/D4342 (137.21 KB)

NE FQHC and IHS Multi Visit Encounter Billing Guidance (175.79 KB)

NE Newsletter - Extractions (146.38 KB)

NE Bulletin - D1354/D1355 (111.16 KB)

NE Bulletin - Guidelines for Interrupted Denture (125.61 KB)

NE Bulletin - Centralized Credentialing (131.05 KB)

NE Bulletin - D8696 and D8697 (119.85 KB)

NE Ortho COC Form (164.28 KB)

Sample Claim Form (638.42 KB)

NE Bulletin - Teledentistry (131.54 KB)

NE Bulletin- D9997 (135.58 KB)

NE Bulletin - Benefit Updates (51.91 KB)

Illinois Provider Alerts

MHIL Medicaid Dental Provider Manual (1.1 MB)

CAQH Credentialing Form (153.41 KB)

EFT Form (263.09 KB)

Non-Covered Services Form (226.13 KB)

Orthodontic Continuation of Care Request Form (112.63 KB)

Provider Information Form (PIF) (295.4 KB)

MDS Illinois Provider Training Registration January 2026 (228.24 KB)

MDS Illinois Provider Training Registration February 2026 (241.32 KB)

MDS Illinois Provider Training Registration March 2026 (242.74 KB)

MDS Illinois Provider Training Registration Q2, Q3, and Q4 2026 (256.86 KB)

Kentucky Provider Alerts

KY Medicaid 2026 Provider Manual.pdf (2.01 MB)

COC Form (4.81 MB)

EFT Form (4.97 MB)

Non-Covered Services Form (4.91 MB)

PIF Form (4.96 MB)

Questions? Please call us for registration and training support.