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December 2016 Texas Medicaid Provider Procedures Manual

Medicaid Managed Care Handbook : 8 Children’s Medicaid Dental Services : 8.4 Client Enrollment

Clients choose a dental plan and Main Dentist. To maximize enrollment, the children’s Medicaid dental services offer four alternative ways that clients can enroll:
Telephone Enrollment. A client can enroll in a dental plan by calling 1‑800‑964‑2777 (telecommunications device for the deaf (TDD): 1‑800‑267‑5008) A customer care representative will provide essential education about the program and details needed for enrollment.
Mail-in Enrollment. If calling is not convenient, a client may enroll by completing the an enrollment form and dropping it in the mail using the postage-paid, self-addressed envelope. Enrollment forms are mailed to all eligible mandatory clients along with information explaining the services and how to choose a Main Dentist.
Onsite Enrollment. In addition to telephone and mail-in enrollment, clients can enroll by talking with customer care representative at a local HHSC office, at Women, Infants, and Children (WIC) classes, community facilities, or during enrollment events.
Default Enrollment. The final method of enrollment is through an assignment process. If a client does not exercise the right to choose a dental and Main Dentist, the client will be assigned to a dental plan. After the default assignment is made, the dental plan will assign the client a Main Dentist.

Texas Medicaid & Healthcare Partnership
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