Frequently asked Questions for members and providers impacted by Hurricane Harvey

DentaQuest is committed to ensuring that our Medicaid and CHIP members will be able to get necessary dental services during the Hurricane Harvey response and recovery effort.

Our staff is monitoring our processes to make sure that needed services will be authorized and that any provider that serves a DentaQuest member will receive payment for the services provided.  Scheduling an appointment with your main dentist will not be a requirement to receive services. If you are a provider who is not a main dentist, this will not prevent your claim from being paid if you provided necessary services to a DentaQuest member. Below, please find additional frequently asked questions:

 

Members

1.  My Main Dental Home Provider's office is closed due to severe weather. What should I do?
Please call the Member Hotline at 1-800-516-0165 and we will help you find another dentist who can help you until your Main Dental Home Provider is available.

2.  I have a dental emergency and my Main Dental Home Provider's office is closed due to severe weather. What should I do?
If you have a traumatic injury please seek immediate medical attention. If you have urgent dental care needs and need assistance finding a provider, please contact our hotline at 1-800-516-0165.

3.  I had to move due to severe weather. How can I find a dentist in this area?
Please call the Member Hotline at 1-800-516-0165 and we will help you find a new Main Dental Home in your new location.  

 

Providers

1.  I am a Main Dental Home Provider and my office will be closed for repairs due to severe weather. Do I need to inform DentaQuest?
Yes. Please call our Provider Hotline at 1-800-896-2374 and let us know how long you think your office will be closed. Also, please call any DentaQuest members who have an appointment scheduled during this time period and reschedule them. Any answering service for your office should provide information regarding this closure and instructions for how to seek emergency care. DentaQuest can assist your members find another provider while your office remains closed through the Member Hotline at 1-800-516-0165.

2.  A DentaQuest member came to my office. I am not their Main Dental Home Provider and their Main Dental Home Provider's office is closed due to severe weather. Can I see this member?
Please instruct the member call the DentaQuest Member Hotline at 1-800-516-0165 and request to have you assigned as their Main Dental Home Provider. Members can switch back to their original Main Dental Home provider once the office location is reopened.

If the member is having a dental emergency, please treat the member and include a narrative with your claim that includes the nature of the emergency and the fact that the member’s Main Dental Home Provider is closed due to severe weather.

3.  A DentaQuest member came to my office with a dental emergency. I am not their Main Dental Home Provider and their Main Dental Home Provider's office is closed due to severe weather. Can I see this patient?

Yes. Please include a narrative with your claim that includes the emergency nature of this visit and the fact that the member's Main Dental Home Provider is closed due to severe weather. DentaQuest is reviewing all claims that deny for main dental home during this period when the member’s address on file is located in one of the counties designated by the Governor as being severely impacted by Hurricane Harvey. Those counties include: Aransas, Atascosa, Austin, Bastrop, Bee, Bexar, Brazoria , Brazos, Burleson, Caidwell, Calhoun, Cameron, Chambers, Colorado, Coma, DeWitt, Fayette, Fort Bend, Galveston, Goliad, Gonzales, Grimes, Guadalupe, Hardin, Harris, Jackson, Jasper, Jefferson, Jim Wells, Karnes, Kerr, Kleberg, Lavaca, Lee, Leon, Liberty, Live Oak, Madison, Matagorda, Montgomery, Newton, Nueces, Polk, Refugio, San Jacinto, San Patricio, Tyler, Victoria, Wailer, Walker, Washington, Wharton, Willacy, and Wilson.