Dental Benefit Program RFP Procurement Library
The Louisiana Department of Health (LDH) Medicaid is issuing a Request for Proposals (RFP) for qualified proposers to provide dental healthcare services, through a comprehensive network of providers, to eligible clients residing in all 64 parishes in Louisiana.
If you have any questions, please contact the RFP Coordinator Ali Bagbey at ali.bagbey@la.gov.
Below are all documents related to this RFP:
- Compliance Matrix
- Rural Parish Map
- Dental Services Manual
- Grievance, Appeal and State Fair Hearing Report
- State Fair Hearing Companion Guide
- DBPM Systems Companion Guide
- Financial Reporting Guide Instructions
- Financial Reporting Template
- Financial Reporting Guide - Annual Disclosures
- Louisiana Standardized Credentialing Application Form
- Council for Affordable Quality Healthcare (CAQH) standardized credentialing form
- Monthly Member Education Reporting Template
- Reporting Templates
- Medicaid Ownership and Disclosure Form
- LDH Policy 47.1 - Criminal History Records Check of Applicants and Employees
- Data Use Agreement
- Dental Benefit Program - Enrollee Handbook Templates
- Question and Answer Submission Template