Dental Program
Keystone First is committed to offering a dental benefit program that ensures access to high quality oral health care. To realize our commitment to our members, providers and stakeholders, Keystone First is contracting directly with dental providers to foster closer relationships between the health plan, our participating dentists, and our members.
This program will:
- Engage a closer relationship with dental providers by offering three different reimbursement methods.
- Encourage a closer relationship between members and their dental providers by developing a dental home concept for all members.
- Evaluate care patterns for consistently high quality and utilization of services.
Dental Provider Communications
- Maternity Preventive Dental Pay-for Performance (P4P) Program (PDF)
- New claim submission requirement for Inclusive Dental Program (PDF)
- Change in benefit limit exception (BLE) submission requirement (PDF)
- Orthodontic Continuation of Care (PDF)
- DentaQuest information to assist your practice (PDF)
- Training sessions for the DentaQuest transition (PDF)
- DentaQuest electronic funds transfer notice (PDF)
- DentaQuest announcement (PDF)
Already a dental provider with Keystone First?
Dental Provider Supplement
2024 — effective August 1, 2024
2024
Provider Resources
- Dental Check® program booklet (PDF)
- Dental Policies
- Electronic funds transfer authorization (PDF)
- Benefits of being a dental provider (PDF)
- Dental benefit limit exception request form (PDF)
- Dental cultural competency (PDF)
- Member benefits grid (PDF)
- Member copay schedule (PDF)
- Orthodontic Continuation of Care (OCOC) Submission Form (PDF)
- Silver diamine fluoride flyer (PDF)