The South Carolina Dental
Association (SCDA) has received hundreds of phone calls, emails and other
inquires regarding the recent Medicaid administration transition to
DentaQuest. The SCDA remains committed to the South Carolina Medicaid
Program. On Tuesday, August 31, 2010, Dr. Jim Mercer, SCDA Medicaid and
Legislative Chair, Dr. Philip Prickett, South
Carolina Society of Oral and Maxillofacial Surgeons and Mr. Phil Latham,
SCDA Executive Director met with Department of Health and Human Services
representatives, to discuss the many issues that had been reported.
From that meeting:
-
The Medicaid
Agency has agreed to fully research the functionally of DentaQuest's web portal
so that is will function as it is intended to.
-
The Medicaid
Agency has agreed to accept phone calls from any dentist that is having
specific claims problems after an attempt to solve the problem with
DentaQuest. The Agency needs to know specifics about the claims problems
and due to HIPAA, it would be best to discuss those directly with the
Agency. You may call Mr. Roy Hess at 803-898-3929.
-
The Medicaid
Agency has agreed to research the most common questions/answers and provide a
write up to the SCDA by early next week so that it can be distributed to the membership.
-
The Medicaid
Agency has agreed to research and set up a specific live training session for
Oral Surgeons and their staff regarding billing, prior authorization
requirements, etc.
The SCDA realizes this is a
tough time for all, but urges all to remain patient and see if the above
avenues will begin to ease the burdens. As mentioned before, the SCDA
will keep this issue at the top of its list.
Sincerely,
Phil Latham
SCDA Executive Director
South Carolina Dental Association |
