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Information for Beneficiaries

Information for Beneficiaries

For several years, the Arkansas Department of Human Services (DHS) partnered with MCNA and Delta Dental to manage and pay for your dental services. Beginning on Nov. 1, 2024, the Medicaid program itself (Fee-For-Service, or FFS) began managing and paying for your dental services.  

This means you will now use your Medicaid ID when you go to the dentist, not an MCNA or Delta Dental card, and your dentist will bill Medicaid directly.  

Enrollees in Delta Dental and MCNA received a letter before mid-October explaining the change. Click here to read the letter. 

How do I know if I qualify for dental services? 

Call 1-800-275-1131 (TDD 1-800-285-1131) for questions related to dental eligibility.  

When will my dental services change to FFS?

  • Dental services transitioned to FFS on November 1, 2024. 

What dental card will I provide to my dentist?

  • All beneficiaries should use their Medicaid ID card for all dental services. Delta Dental or MCNA cards can be discarded.   

What dental services are covered in the Dental FFS Program?

  • Services such as oral evaluations, x-rays, topical fluoride, sealants, and crowns 
  • Orthodontic care such as braces  
  • Dental services in a long-term care setting  
  • Some benefit limitations may apply, based on the Medicaid program you’re enrolled in or other factors. Contact your dental provider to determine whether the services you need are covered.  
  • For more information about covered services, call 1-800-275-1131 (TDD 1-800-285-1131) 

Is my dentist eligible to participate in Medicaid FFS?

  • All dental providers who participated in Delta Dental and MCNA are Medicaid-enrolled dental providers.  
  • Dental providers with Indian Health Services, Tribal, and Urban Indian Organization are Medicaid enrolled dental providers.  
  • Please contact your dentist to confirm they will continue serving Medicaid patients.      

How can I find a dentist who accepts Medicaid?

  • Call the ConnectCare help line at 1-800-275-1131 (TDD 1-800-285-1131) for help finding a dentist. 
  • Look it up online. Medicaid-enrolled dentists in your area can be found at humanservices.arkansas.gov/u/dentist. You’ll need to enter your location and select “Dental” as the Provider Type. 

Will I have to pay for any dental services?

  • Dental services are limited to $500 per year for adults. The only time you will have to pay is if services are more than $500 or if you get services not covered by Medicaid.   
  • There is no dollar limit on medically necessary services for children. There is a $10 copay for children in ARKids-B.  
  • For covered services, Providers can’t charge the beneficiary more than the Medicaid-allowed amount. For non-covered services, providers can charge the beneficiary for the service.  

If I don’t use all the $500 in a year, does this money roll over into the next year? 

No, the remaining money does not roll over into the next year. 

I have received $500 of dental services this year and I still need additional dental services. I do not have money to pay for additional dental services. What are my options?

  • Contact an organization, such as Dental Lifeline Network, which provides dental services through volunteer dentists and laboratories. Visit the website or call the phone number below to learn more information and to see if you qualify. 
  • Website: https://dentallifeline.org/arkansas/ 
  • Phone: 501-993-8245 

I was previously enrolled in Delta Dental or MCNA. Who do I contact for dental claims and coverage before November 1, 2024?

  • All eligible claims for services provided before November 1, 2024, will be paid for by Delta Dental or MCNA. You can call these companies for questions related to claims. 
  • MCNA – 1-844-341-6262 
  • Delta Dental – 1-866-864-2499 

Who do I contact for FFS dental claims and coverage?

You can call 1-800-275-1131 (TDD 1-800-285-1131) for questions related to claims and coverage.  

I am in the middle of dental treatment (e.g., orthodontics, crowns, dentures, etc.). Will my remaining services be covered?

  • All services in progress will be covered, but Delta Dental, MCNA, and Medicaid will share the responsibility of paying your dentist based on the dates and types of treatment.   
  • Delta Dental and MCNA will pay for all authorized orthodontic services already in progress (for example, braces that are already installed) prior to November 1. Medicaid will pay for authorized orthodontic services started after that.   
  • Delta Dental and MCNA will pay for claims for other multi-visit treatments if the crowns or other prosthetic appliances are delivered to you before November 1. Medicaid will pay claims for multi-visit treatments in which the crowns or other prosthetic appliances are delivered to you on or after November 1.   

How can I ask a question that is not included in this set of FAQs?

  • If you have other questions, please call 1-800-275-1131. You may also contact the DHS Dental Unit at [email protected].