Welcome, DentaQuest Dentist
We respect the contributions of our providers. By providing you with advanced technological tools, we eliminate the administrative burden associated with participating in government-sponsored programs. Beyond representing an act of public service in your community, we want your participation in our network to represent a sound business decision.
DentaQuest administers dental benefits for Blue Cross Blue Shield of Michigan Healthy Kids Dental, Blue Cross Blue Shield of Michigan and Blue Care Network Commercial and Medicare Advantage programs. Click here for specific dentist information regarding these plans or select BCBSM dentist page from the left hand navigation.
Join Our Network:
If you are a provider participating in BCBSM Healthy Kids, Aetna, Meridian, WellCare Advantage, Lumeris PHP, and Dental Care Plus you can enroll online
with DentaQuest. For all other BCBSM plans, please contact your administrator to enroll.
Enroll by Mail:
We encourage you to complete your credentialing application online
. However, we understand an online solution is not everyone’s preference. you prefer to complete a paper application, please call your provider relations representative.
CAQH Sign Up
The Council for Affordable Quality Healthcare (CAQH) offers a single credentialing application and an online database that contains information necessary for insurance companies to credential a provider. This allows you to submit and maintain your credentialing information at one location rather than filing with many organizations. There is no cost to file an application with CAQH and it can be completed online. Click here to visit the CAQH website.
Important Notice to All Michigan Providers:
Effective January 1, 2020,
DentaQuest began administering the dental benefits for Lumeris-Physician Health Partners Medicare Advantage in Michigan.
The Desk Reference Guide and Office Reference Manual is available on the provider web portal under related documents.
You are able to check and confirm eligibility of members by using the DentaQuest provider web portal https://govservices.dentaquest.com
. First-time users must register at www.dentaquest.com/dentists/self-registration-page
ATTENTION! MI MERIDIAN MEDICARE UPDATE 2020
As of 01/01/2020, MI Meridian Medicare Plans were rebranded as WellCare and the Michigan Meridian Health Office Reference Manual, as available under “Provider Resources”, will be updated with new benefit plans. The update will not affect your current network affiliation and/or fee schedule. Please refer to the updated manual for further details.
All providers who serve Michigan Medicaid beneficiaries are required to enroll in CHAMPS in order to receive payment from Dental Health Plans
For dates of service on or after January 1, 2019, MDHHS
will prohibit contracted Medicaid Health Plans and Dental Health Plans from making payments to providers not actively enrolled in CHAMPS. Please take immediate action to enroll in CHAMPS or renew your enrollment if it has expired
. You must revalidate your information with CHAMPS every 5 years.
To enroll in CHAMPS:
To review instructions on this process:
If you have any questions or need assistance with enrollment
- Visit www.michigan.gov/mdhhs
- Select “Providers” from the left side menu, then the “Providers” link
- Click “CHAMPS” logo
- Scroll down to “Accessing the CHAMPS System” to find the “SSO Instructions” link
, please contact the Medicaid Provider Help Line 1.800.292.2550 or email ProviderEnrollment@michigan.gov
News & Updates
MI Dental Care Plus Office Reference Manual update
The MI Dental Care Plus (DentaTrust & DentaSpan) Office Reference Manual has been updated, effective 1/1/2020, with a new subgroup and procedure codes. Please visit the "provider resources" section to review the new ORM in detail
MI Meridian Office Reference Manual update
The MI Meridian Health Plan Office Reference manual has been updated, effective 01/01/2020, with plan name changes and benefit changes. Please visit the "Provider Resources" section to review the new ORM in detail.
Be sure your office is verifying current covered benefits for each plan.
Please remember to refer to the health plan's Office Reference Manual (ORM) for the most current benefits (CDT codes) to insure that you will receive allowable reimbursement for rendered services. A copy of the ORM is available on this page in the Provider Resources section.
DentaQuest Customer Service: 844-870-3977
DentaQuest Credentialing Help Desk: 800-233-1468