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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

OH Medicaid 2024 Provider Manual (1005.09 KB)

OH MMP 2024 Provider Manual (402.84 KB)

OH Medicare 2024 Provider Manual (832.2 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)

Provider Training - Webinar 2024 (156.98 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

Nebraska Provider Alerts

NE Provider Manual (2.01 MB)

Dental Prior Authorizations Grid (40.54 KB)

Optum-Change Healthcare Bulletin (42.7 KB)

NE EFT Form (244.63 KB)

NE AOR Form (35.22 KB)

NE Provider Information Form (302.31 KB)

NE Non_Covered Service Agreement (117.13 KB)

NE Ortho COC Form (126.03 KB)

NE Provider Appeal Form (79.33 KB)

NE Ortho Case Tool (392.18 KB)

NE PCD Change Form (179.99 KB)

NE Ortho TOC Form (111.13 KB)

NE HLD Form (559.21 KB)

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