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2012 Texas Medicaid Provider Procedures Manual

Children’s Services Handbook : 4. Texas Health Steps (THSteps) Dental : 4.2 Services, Benefits, Limitations, and Prior Authorization : 4.2.3 ICF-MR Dental Services : Children in Foster Care
Clients in foster care receive services from Superior HealthPlan’s dental contractor, Delta Dental. The telephone number for Delta Dental is 1-866-287-3252.
Paper claims and requests for prior authorization must be mailed to:
Delta Dental of California
State Government Programs
PO Box 537030
Sacramento, CA. 95853-7030

Texas Medicaid & Healthcare Partnership
CPT only copyright 2011 American Medical Association. All rights reserved.