caregivers providers

For Office Staff

These resources are useful for non-provider office staff in clinics that provide oral health services.

Implementation Guidance

Ready, Set, Implement

Outlines key steps to have in place to facilitate implementation.

Training Fact Sheet

For office manager and/or clinic champion. Information on primary care provider training.

Dental Clinic Access Program List

Community Dental Clinic and Access Programs in Washington for children and adults.

ParentHelp123.org

Includes a database of dental care resources that can be searched by location. Click on "RESOURCES"; then click "Resource Finder," then click on "Get Started," then choose "Dental Services, ABCD."


Supplies

Fluoride Varnish Suppliers Sheet

Lists suppliers and costs for fluoride varnish.


Documentation

EMR Documentation Content

Sample language to populate EMR for documenting oral health services.

Sample Documentation for Offices Using Electronic Records

Sample Documentation for Offices Using Paper Records

Label for paper-based charts for documenting oral health services.


Billing

Billing Summary Sheet

Summary of reimbursement rates and oral health services paid for by Medicaid and Delta Dental of Washington.

Medicaid Claims Submission Documents

How to’s of and background for billing Medicaid including an example of a populated claim form.

Delta Dental of Washington Claims Submission Documents

How to’s and background for billing Delta Dental of Washington including provider forms that must be submitted to Delta Dental of Washington, an example of a populated claim form to be submitted to Delta Dental of Washington and diagram of the Delta Dental of Washington IVR system (to check patient eligibility).

Delta Dental of Washington W-9 Form

IRS W-9 form.

NPI Form

National Provider Identifier (NPI) Profile form.