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Oral Surgeons, Illinois Invites You to Join the Improved Medicaid Dental Program
The Illinois Department of Healthcare and Family Services and the Illinois Department of Public Health invite you to join the Medicaid Dental Program.
- Illinoisans (children and adult members) covered by the Medicaid Dental Program seek timely access to high-quality dental care.
- Dental providers who participate in the Medicaid Dental Program are eligible for quicker and more accurate reimbursements!
- Transportation benefits can be arranged by contacting First Transit at https://www.netspap.com/. Direct contact can be made by phone: patients: (877) 725-0569 and providers: (866) 503-9040.
Enhancements in Benefits to the Medicaid Dental Program!
Expansion of Dental Benefits for adults are now eligible for the full-scope of Medicaid benefits, so you can care for families.
Electronic Claim Submissions and Direct Deposit allow for quick and more accurate reimbursement.
Access to Provider Representatives
Medicaid Dental Program representatives are ready to help you enroll in IMPACT. Contact them at (877) 782-5565, Option #1 for English, Option #2 for providers, and then Option #1 for IMPACT enrollment staff.
Or, self-enroll in IMPACT using available web tools and presentations by navigating to IMPACT Home and IMPACT Presentation and Materials.
Direct Referral Network
Medicaid members do not need a referral from their primary care dental provider to see a specialist.
Adults residing in the lower 2/3 of the state struggle more than in accessing timely oral health care that includes oral surgery services. Statewide, 92.02 per 10,000 adults used the emergency department (ED) for a non-traumatic dental condition (NTDC).
- In central Illinois (orange), 71.48 out of 10,000 ED visits were due to NTDC.
- In southern Illinois (red), 269.05 out of 10,000 ED visits were due to NTDC.
Benefit Coverage for Dental Program Enrollees*
| Service | Babies, Children, and Young Adults Under 21 Years of Age | Adults |
|---|---|---|
|
Diagnostic |
||
|
✓ |
✓ |
|
✓ |
✓ |
|
Oral and Maxillofacial Surgery |
||
|
✓ |
✓ |
|
✓ |
✓ |
|
Adjunctive General Services |
||
|
✓ |
✓ |
|
✓ |
✓ |
|
✓ |
✓ |
Help Us Make Illinois Healthier!
Want to impact your community? Here’s your chance!
Illinois is one of the few states that offer comprehensive dental services to adults as part of the Medicaid program. This means that low-income Illinoisians, including pregnant, disabled, and undocumented adults have access to premium dental care and are able to prioritize their oral health.
In order to fulfill the vision, we need caring, empathic oral surgeons like you to join. Are you in?
Enroll Today! Call the HFS Dental Provider Hotline at (800) 842-1461.
Visit the HFS Dental Program Website for more information
Learn More: Dental Office Reference Manual