Meridian partners with Delta Dental
We’re excited to announce that starting March 1, 2024, Delta Dental became the new carrier for the Meridian Health Plan’s Healthy Michigan Plan, adult Medicaid, and MI Health Link dental programs.
Here’s a few items of note:
- Meridian Health Plan members will receive an updated Meridian ID card for dental services. The member ID will not change.
- A separate Delta Dental ID card will not be issued.
- For those members you already see, you may need to request a copy of their updated ID card. If the member does not have their ID card, their Medicaid ID number can also be used to verify benefits and submit claims.
- For continuity of care, the member’s previous treatment received while with the dental carrier prior to March 1 will be transferred to Delta Dental. Frequency limitations will apply based on treatment history.
We anticipate high call volume during this transition. For fast, convenient service, use the Dental Office ToolkitTM(DOT) to verify eligibility, benefits, and claim status. The full details of the benefits offered for these programs are available in the Healthy Michigan Plan, Medicaid & MI Health Link Office Guide available through DOT along with this updated Government Job Aid.
Click here for additional details and answers to common questions.
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HAP Empowered
is now known as
HAP CareSource
HAP Empowered is now known as HAP CareSource thanks to a new partnership with CareSource.
This name change applies to their adult Medicaid, Healthy Michigan, and MI Health Link membership. Benefits have not changed for these plans. Members will use their HAP CareSource ID card when seeking services and their member IDs have not changed.
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Using Private
Pay Form
If a Delta Dental Medicare Advantage or Medicaid member requires services not covered in their benefit plan, be sure to obtain a signed private pay form from that member or member’s guardian before rendering services. Impacted members include Healthy Michigan Plan, Adult Medicaid, Healthy Kids Dental, Medicare Advantage or MI Health Link program.
If a procedure is not listed in Delta Dental’s fee schedule for the above programs, or if it exceeds an age or frequency limitation, it is not a covered benefit under that program and is considered a non-covered service.
Payment for non-covered services is the responsibility of the member or the responsible party. Before providing non-covered services, the cost of the non-covered service(s) must be discussed with the member or responsible party. Payment for non-covered services can only be collected when the member or member’s guardian signs a private pay form (to be signed on the day non-covered services are rendered), where they agree in writing to pay for the non-covered (or alternate) service(s).
You may use any form for the private pay form and should include the cost associated with the non-covered service(s), the responsible party’s signature and the date. (See Delta Dental’s sample form here). The form should be maintained in the patient’s record.
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Oral health screenings become law
After months of effort and tireless dedication, Delta Dental of Michigan was finally able to celebrate the passage of legislation that could put more than 100,000 Michigan kids on a path to improved oral health.
In December 2023, Michigan Gov. Gretchen Whitmer signed legislation to establish an oral health assessment program that requires screenings for kids who are registering for the first time in kindergarten or first grade in a Michigan public school.
The program will serve 112,000 kindergartners in Michigan through the work of the state of Michigan and Delta Dental.
Delta Dental’s policy team played a key role in the creation, advancement and eventual passage of Senate Bill 280, sponsored by state Sen. Sam Singh (D-East Lansing).
“Dental health is often overlooked when we talk about the health and development of our kids. All families need access to care to ensure their children stay healthy and can be successful,” said Singh.
The Delta Dental Foundation (DDF) will help kick off the program with financial support for startup costs.
“Requiring dental assessments for kindergartners will help tens of thousands of children across Michigan and increase access to dental health care,” said Holli Seabury, EdD, executive director of the DDF. “This important law will help improve kids’ health and set them up for success in school and beyond.”
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Check out the HKD incentives
Are you a Delta Dental provider who sees Healthy Kids Dental (HKD) patients? You may have the chance to earn more from your efforts.
To increase the number of kids utilizing the HKD program, Delta Dental is offering an incentive program designed to grow utilization while rewarding participating providers.
If Delta Dental HKD utilization in the state reaches 53%, your practice is eligible to receive a 5% performance incentive on:
- Oral evaluations (codes D0120, D0150, D0145)
- Sealants (code D1351)
- Fluoride (codes D1206, D1208)
If you have an office located in northern Michigan counties (Alcona, Alger, Alpena, Antrim, Baraga, Benzie, Charlevoix, Cheboygan, Chippewa, Crawford, Delta, Dickinson, Emmet, Gogebic, Grand Traverse, Houghton, Iosco, Iron, Kalkaska, Keweenaw, Leelanau, Luce, Mackinac, Manistee, Marquette, Menominee, Missaukee, Montmorency, Ogemaw, Ontonagon, Oscoda, Otsego, Presque Isle, Roscommon, Schoolcraft, and Wexford), you can earn additional incentives when treating foster children.
Foster kids in Michigan are required to have a dental visit within 90 days of placement and once per year for those already in foster care. Delta Dental of Michigan is offering a $50 bonus per foster child per visit, up to three appointments per foster child. The program started Oct. 1, 2023, and runs through Sept. 30 of 2024.
Click here for more details, including eligibility and performance guidelines.
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Did you know Delta Dental offers free CE credits?
Continuing Education credits are a requirement for licensure and Delta Dental wants to make your CE efforts painless by offering free online courses through our Provider Learning portal.
Any dentist, hygienist, dental assistant or office staff member who is a Delta Dental participating provider or works for a Delta Dental participating provider may take these courses.
These courses are available 24/7 to help you conveniently and cost-effectively comply with ongoing regulatory demands so you can get quickly get back to what you would rather do—serve patients.
Courses include an informational video on each topic and an assessment. Complete them at your own pace. Upon completion, you will receive a certificate.
Check out the latest course offerings for Michigan.
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Are you using the new ADA form?
A new version of the American Dental Association (ADA) form is now available and preferred.
While previous ADA claim form versions will still be accepted, Delta Dental is currently processing the new ADA claim form and it’s recommended you use the most up-to-date version.
You may now submit claims through Dental Office ToolkitTM(DOT) with form attachments.
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