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. To provide feedback, please complete this form. Refer to the links below the table for archived postings and public comments.

Item Number Policy/Procedure Date Posted Public Comments Due By Document Links
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

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