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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:

 

  1. Compliance Matrix
  2. Rural Parish Map
  3. Dental Services Manual
  4. Grievance, Appeal and State Fair Hearing Report
  5. State Fair Hearing Companion Guide
  6. DBPM Systems Companion Guide
  7. Financial Reporting Guide Instructions
  8. Financial Reporting Template
  9. Financial Reporting Guide - Annual Disclosures
  10. Louisiana Standardized Credentialing Application Form
  11. Council for Affordable Quality Healthcare (CAQH) standardized credentialing form
  12. Monthly Member Education Reporting Template
  13. Reporting Templates
  14. Medicaid Ownership and Disclosure Form
  15. LDH Policy 47.1 - Criminal History Records Check of Applicants and Employees
  16. Data Use Agreement
  17. Dental Benefit Program - Enrollee Handbook Templates
  18. Question and Answer Submission Template

 

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Mailing Address: Louisiana Department of Health | P. O. Box 629 | Baton Rouge, LA 70821-0629
Physical Address: 628 N. 4th Street | Baton Rouge, LA 70802 | PHONE: 225-342-9500 | FAX: 225-342-5568
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