Item Number | Policy/Procedure | Date Posted | Comment Period Closed | Document Links |
---|---|---|---|---|
2025-MCNA-1 | MCNA Provider Manual version 1.26 | 3/28/25 | 5/12/2025 | MCNA Provider Manual version 1.26 |
2024-DBPM-2 | DBPM Manual > Part 4: Services > DBPM Covered Services (Proposed effective date = 5/1/2024) | 3/13/24 | 4/27/24 | DBPM Manual > Part 4: Services > DBPM Covered Services (Proposed effective date = 5/1/2024) |
2024-DBPM-1 | DBPM Manual | 1/25/24 | 3/10/24 | DBPM Manual |
2023-MCNA-2 | MCNA Provider Manual | 8/9/23 | 9/23/23 | MCNA Provider Manual |
2023-DBPM-2 | DBPM Manual > Part 4: Services > DBPM Covered Services (Proposed effective date = 5/1/2023) | 4/11/23 | 5/26/23 | DBPM Manual > Part 4: Services > DBPM Covered Services |
2023-MCNA-1 | MCNA Provider Manual | 3/14/23 | 4/28/23 | MCNA Provider Manual |
2023-DentaQuest-1 | DentaQuest Office Reference Manual | 3/14/23 | 4/28/23 | DentaQuest Office Reference Manual |
2023-DBPM-1 | DBPM Manual > Part 4: Services > DBPM Covered Services (Proposed effective date = 5/1/2023 | 3/14/23 | 4/28/23 | DBPM Manual > Part 4: Services > DBPM Covered Services |
2022-MCNA-3 | MCNA Provider Manual | 12/6/22 | 1/20/23 | MCNA Provider Manual |
2022-DentaQuest-2 | DentaQuest Office Reference Manual | 12/6/22 | 1/20/23 | DentaQuest Office Reference Manual |
2022-DentaQuest-1 | DentaQuest Office Reference Manual | 6/22/22 | 8/6/22 | DentaQuest Office Reference Manual |
2022-MCNA-2 | Policy/Procedure MCNA Provider Manual | 6/15/22 | 7/30/22 | Policy/Procedure MCNA Provider Manual |
2022-DBPM-2 | DBPM Manual > Part 4: Services > DBPM Covered Services (Proposed effective date = 7/1/2022) | 5/4/22 | 6/18/22 | DBPM Manual > Part 4: Services > DBPM Covered Services |
2022-MCNA-1 | Policy/Procedure MCNA Provider Manual | 3/11/22 | 4/25/22 | Policy/Procedure MCNA Provider Manual |
2022-DBPM-1 | Dental Benefit Program Manager (DBPM) Manual | 2/9/22 | 3/27/22 | Dental Benefit Program Manager (DBPM) Manual |
2021-DentQuest-2 | DentaQuest Office Reference Manual | 11/4/21 | 12/30/21 | DentaQuest Office Reference Manual |
2021-MCNA-3 | MCNA Provider Manual | 5/26/21 | 7/10/21 | MCNA Provider Manual |
2021-MCNA-2 | MCNA Provider Manual | 4/14/21 | 5/29/21 | MCNA Provider Manual |
2021-MCNA-1 | MCNA Provider Manual | 1/8/21 | 2/21/21 | MCNA Provider Manual |
2021-DentQuest-1 | DentaQuest Office Reference Manual | 1/8/21 | N/A | DentaQuest Office Reference Manual Imminent Peril Justification |
Dental Benefit Plan Manager Policies
In accordance with La. R.S. 46:460.51, et seq., prior to adopting, approving, amending, or implementing certain policies or procedures, LDH will publish the proposed policy or procedure for the purpose of soliciting public comments. For this purpose, a policy or procedure, as defined by the statute, shall mean a requirement governing the administration of managed care organizations specific to billing guidelines, medical management and utilization review guidelines, case management guidelines, claims processing guidelines and edits, grievance and appeals procedures and process, other guidelines or manuals containing pertinent information related to operations and pre-processing claims, and core benefits and services.
The following table contains the Dental Benefit Plan Manager policies that are open for public comment.