News from Delta Dental of Iowa No images? Click here Important Updates Join Delta Dental for our fall seminars! The fall seminars are open to dentists and their office staff participating in the Delta Dental, Dental Wellness Plan and Hawki networks. Topics will include: What's new for 2025, Government Programs Updates, and Patient & Dentist initiatives. Learn more. We look forward to seeing you this fall!
DWP and Hawki Emergency Services If your DWP and/or Hawki patients have an Emergent Dental Service, you do not need to limit services to specific codes that would be excluded from a member’s ABM. In addition, in an emergency, a prior authorization is not required. The Provider must include information to Delta Dental of Iowa that the services were emergent. That can be completed one of two ways.
The member’s clinical record must include clinical documentation that demonstrates an emergency dental condition as defined by ADA – emergency dental condition guidelines. DWP Risk Assessment Effective August 1, 2024, Delta Dental will no longer reimburse providers for the completion of the PreViser risk assessment (D0601, D0602, and D0603 codes). If you wish to continue completing a risk assessment with members to aid in treatment planning, the oral health self-assessment located at https://survey.previser.com/ddia may be utilized. Provider Revalidation - DWP and Hawki Iowa Medicaid is in the process of revalidating dental providers. Please review the Informational Letter (IL) released by Iowa Medicaid on July 25, 2024 which includes a step-by-step process: IL 2616-MC-FFS-D. The first step to start the revalidation process is by printing and mailing this form. Ensuring revalidation is completed promptly is imperative to maintain ongoing enrollment with Iowa Medicaid. Failure to undergo revalidation with Iowa Medicaid may result in the inability for Delta Dental to process claims for providers in the DWP, DWP Kids, and Hawki networks. For any questions regarding the process, if revalidation is needed for a provider, or current revalidation status, contact Iowa Medicaid at (800) 338-7909. Claims Processing Update As a reminder, starting July 1, 2024, DWP, DWP Kids and Hawki claims must be submitted to Delta Dental of Iowa within 180 days of the service date. This is applicable for dates of service July 1, 2024 and greater. If you have any questions, please call us toll-free at (888) 472-2793 or email provrelations@deltadentalia.com. Poverty Simulation About 11% of Iowans live in poverty and 27.5% of working families live under 200% of the federal poverty line (source: Spotlight on Poverty & Opportunity). Understanding the day-to-day realities of poverty is important for all oral health providers and staff. SPENT is a free online poverty simulator that can help you understand financial barriers, as well as the stress that accompanies them. We encourage you to reach out to local organizations near you to receive additional information and learn more about how you can get involved to help address poverty in your community. Dental Fraud Dental fraud can lead to patients receiving care that is not safe or needed. If you notice any dental services on your Remittance Advice that may have been unnecessary or if you think there might be wrong information submitted to Delta Dental, please call us at (888) 472-2793 or email provrelations@deltadentalia.com. 1,000+ Volunteers Needed for Free Dental Clinic Delta Dental is proud to provide financial support and serve on the planning committee for the Iowa Dental Foundation’s 15th Iowa Mission of Mercy (IMOM). This free, two-day dental clinic will be held at the Tyson Events Center in Sioux City on October 4 and 5. To ensure a successful event, IMOM will engage more than 1,000 volunteers. While dental professionals provide the dental care, general volunteers are also needed to assist with registration, childcare, interpretation services, food and beverage, and a wide variety of other tasks. Whether you can volunteer for a single shift or the entire event, your contribution is invaluable. You can choose the shifts that best fit your schedule. Register to volunteer today at www.iowamom.org and join us in providing essential dental care to those in need! For your smile. For your health. © 2024 Delta Dental of Iowa. All rights reserved. |