KanCare Providers Answer Questions for KDA

The state of Kansas has approved the KanCare Provider Manual for DentaQuest and for Scion Dental.

The KDA has received a contract analysis for both the DentaQuest Contract designated “130101 Mdicaid” and the Scion contract designated as 1869-C.  The American Dental Association has specific rules that pertain to the distribution or reproduction of this information.  Because of this, if you are a KDA member and have received a contract from DentaQuest designated as 130101 Medicaid or Scion Dental 1869-C and you would like a copy of the agreement sent to you, please click the appropriate link above to email us.

Scion Dental has provided a copy of their dental benefits

 

Representatives of both Scion Dental and DentaQuest answered questions for the KDA last Friday in Manhattan.  We are providing you some of the questions and answers that were asked during the workshop.  In addition, the KDA has received a contract analysis for both the DentaQuest Contract designated “130101 Medicaid” and the Scion contract designated as 1869-C.  The American Dental Association has specific rules that pertain to the distribution or reproduction of this information.  Because of this, if you are a KDA member and have received a contract from DentaQuest designated as 130101 Medicaid or Scion Dental 1869-C and you would like a copy of the agreement sent to you, please click the appropriate link above to email us.

We will continue to update this site as more information becomes available to us.

 

What are the Value Added Adult Services?

All children’s benefits will remain the same.  For DentaQuest, the value added services are two prophies, two exams and one bitewing x-ray series per year.

 

Will there be any change in benefits for children?

No, the benefits for children will remain the same.

 

Does signing a provider contract for KanCare mean that I will have to take all private insurance products offered by the MCO or dental vendor? 

No, signing a contract makes you a KanCare Medicaid provider only.

 

What do the contract provisions requiring 24/7 access to KanCare patients mean?

That language requires that a patient have access to emergency medical information such as an on-call dentist, instructions to contact the emergency room, etc. on a voice mail or answering machine message for after hours.  It does not require that the dentist be “on-call” at all times.

 

Can I chose not to accept adult patients or limit your KanCare patients? 

Yes, you can limit the number of KanCare patients you treat just as you can today by school district, county, age, etc.

 

Can I sign a KanCare contract with either DentaQuest or Scion and not the other?

You must sign a contract with either company to be a KanCare provider.  You may then sign up with either or both companies.  If you contract with only one, patients from the other network will be considered “out of network” and reimbursed at a lesser rate.  So to guarantee that you will receive the full, allowable reimbursement, you would need to sign both contracts.

 

Will I still be able process KanCare claims through the existing KMAP website?  

Yes, the current website and process for filing claims will be maintained.

 

What is CAQH and what are the benefits of enrolling? CAQH is a credentialing site that allows you to upload one application that can be applied to multiple vendors.

 

What is required of credentialing and how long does it take? – At this point, the processing is taking about thirty days.

DentaQuest has provided us with a copy of the presentation they gave at the workshop.

DentaQuest Presentation

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