Supporting Our

Providers

We support dental providers in advancing oral health across Missouri through education, advocacy, resources, and personalized support—because healthier smiles and stronger communities begin with the professionals delivering care every day.

Provider Resources

Find support to help strengthen operations, staffing, patient access and more.

Provider Toolkit

Earn CEUs to stay current with clinical and public health best practices.

Missouri Medicaid

See how Medicaid can support both your patients and practice sustainability.

Outreach

Access tools and guidance to help improve your community’s oral health.

Upcoming Events

Expand Your Expertise

Grow in your role through continuing education, clinical guidance, and public health trainings with MCOH. Earn CEUs by attending events or webinars.

HEALTHIER MISSOURI

Missouri Medicaid Matters

1 in 8 Missourians rely on Medicaid, and communities across the state are facing a lack of providers – leading to a significant number of residents experiencing poor oral health and disease.

See how you can support a healthier Missouri while maintaining practice profitability by participating in MO Medicaid.

Blog

Resources

Find recent Medicaid updates, practice tools, and other educational materials to support you and your team.

Here for You at Every Step

Schedule A Session

Medicaid can seem overwhelming, but we’re here to help. Your Dental Medicaid Facilitator, Lori Reed, is here to talk about your challenges or questions.

Schedule a one-on-one session below or email Lori at lreed@oralhealthmissouri.org.

Flouridation Toolkit

Make an Impact

Improve your community’s oral health outside of the office through public water fluoridation. Our Community Public Water Fluoridation Toolkit is here to help you get started.

Your Questions Answered

Frequently Asked Questions

How can I better support patients with disabilities?

The best way to support patients living with intellectual and/or physical disabilities is to understand their unique needs and create an environment where they feel safe, respected and supported.

We recommend first reviewing the University of Washington’s School of Dentistry Special Needs resources to build a baseline understanding of how to serve both adults and children living with disabilities. Then, talk with your patient – as well as caregivers – to better understand their individual preferences and support needs so you can provide care that is responsive and patient-centered.

How do I refer patients to specialists who accept Medicaid?

Use MO HealthNet’s provider search to find providers accepting Medicaid nearby.

For Managed Care Plans, click below.

Home State Health and Show Me Healthy Kids >

United Healthcare >

DentaQuest >

Which Medicaid plan pays more?

Whether you’re enrolled all the Managed Care Plans or just MO HealthNet, covered dental Medicaid services are reimbursed at the same rate.

View the current reimbursement rates >

to see how your practice can benefit from offering dental Medicaid.

Do I have to enroll with all the Managed Care Plans?

Providers are encouraged to enroll in all three plans but, it is not required.

Learn more about the different Managed Care Plans and start credentialing like an expert with the support of our Provider Toolkit.

How do I know if I’ll get paid for Medicaid care?

If your patient is actively enrolled in MO HealthNet or a Managed Care Plan on the date of service, you will get paid as long as you are also enrolled with their active Managed Care Plan.

You must verify eligibility for the date of service by visiting MO HealthNet’s eMOMED portal.

Learn more about patient verification >

Does Medicaid pay for a full dental exam?

There are some procedure codes that can be used for reimbursement if they apply to your situation. For patients over the age of 21 with limited Medicaid coverage use:

  • Procedure Code ‘D0150’ – Comprehensive Oral Evaluation: Use if there has been at least a 24-month gap in care.
  • Procedure Code ‘D0140’ – Limited Oral Evaluation: Use once every two years as long as it’s problem-focused.
  • Procedure Code ‘D0120’ – Periodic Oral Evaluation: Use every six months to establish a dental home.

Learn more about claims and filing by viewing the Provider Toolkit >

Do I have to accept every Medicaid patient?

The number of Medicaid patients you accept at your practice can be based on your practice needs. There are no requirements on how many patients you accept.

When it comes to patient dismissals, Medicaid patients can be dismissed just like any other. However, providers have been more successful with managing no-shows when they talk with the patient to determine the issues preventing their attendance.

What can our office do to make Medicaid work for us?

Medicaid is not one-size-fits-all. Practices are encouraged to set limitations and implement guidelines to make Medicaid work best for them.

Get started by checking out the ADA’s best practices and the National Network for Oral Health Access’ No-Show Management recommendations.

How often do I need to revalidate for dental Medicaid?

MO HealthNet (fee for service) revalidates providers every 5 years. Managed Care plans recredential providers every 3 years.

MO HealthNet and the Managed Care plans will send a notification by mail and email. Billers will also see a notification in the billing portals.

It’s important for dental Medicaid providers to keep their contact information current, so these notices go to the right place.

Learn more about the Medicaid revalidation process >