Coming in 2023: Expansion of Adult Dental Benefits!
With the passing of Senate Bill 150, the Maryland Department of Health is pleased to announce that dental services will be available to all adults over the age of 21 who receive full Medicaid benefits, effective January 1, 2023. Members who were part of the adult pilot will be eligible in the expanded adult program.
Adult Pilot Program is Here
The Maryland Department of Health is pleased to announce that dental services are available to adults between the ages of 21 and 64, who receive full Medicaid and Medicare Benefits effective June 1, 2019 through December 31, 2022.
Overview and Fee Schedule
Adult Dental Pilot Member FAQ's (Spanish)
Adult Dental Pilot Member Handbook (Spanish)
Adult Dental Pilot Member Handbook
Maryland Healthy Smiles Dental Program
The Maryland Healthy Smiles Dental Program (MHSDP) provides coverage for children under the age of 21, former foster care recipients under the age of 26, pregnant and postpartum women 21 years of age and older, adults enrolled in the Rare and Expensive Case Management (REM) program, and adults 21-64 with full dual Medicaid and Medicare benefits . Adults over the age of 21 with full Medicaid will also be eligible for dental benefits, effective January 1, 2023. SKYGEN USA, LLC, is the administrator of the Maryland Healthy Smiles Dental Program.
Members may choose to download a copy of the Member Handbook, or contact Member Services to request a hard copy to be sent by mail.
Maryland Healthy Smiles Member Services:
Please note: Providers should not charge for services unless the member or representative signs a non-covered service agreement. If you have a question regarding payment of services, please call Member Services at 1-855-934-9812.
For Participating Providers
Providers may choose to download a copy of the Provider Manual or contact Provider Services to request a hard copy to be sent by mail.
Maryland Healthy Smiles Provider Services:
If you are a current Maryland Healthy Smiles Provider and need to be credentialed, update your license expiration or update your demographic information, please visit the electronic Provider Revalidation and Enrollment Portal (ePREP) at: https://eprep.health.maryland.gov/sso/login.do.
Effective 7/1/22, we are pleased to announce that 32 reimbursement rates have increased.
Providers may find the current Maryland Healthy Smiles Dental Fee Schedule at the following link: https://health.maryland.gov/mmcp/Pages/Provider-Information.aspx (under the subtitle Dental and Laboratory Information).
For program-specific questions, consult the SKYGEN USA - Quick Contact Resource List.
For Prospective Providers
For dental providers wishing to participate in the Healthy Smiles Program as an individual provider or group practice, please complete a Medicaid Provider Application in ePREP, which can be found at the link below:
NEW ENROLLMENT TIPS
Below are tutorial videos for each type of ePrep application
- Account Set Up - ePrep Login
- Individual Biller Instructions
Dental Provider Enrollment Demonstration for Individual Providers
- Group Enrollment Instructions