The Agency for Health Care Administration (Agency) contracts with Medicaid Dental Plans to provide dental services to dental plan enrollees in the Statewide Medicaid Managed Care (SMMC) program. The Agency recently entered into a contract with LIBERTY Dental Plan (LIBERTY) as one of three statewide Medicaid Dental Plans.
LIBERTY Dental Plan is required to ensure continuity of care (COC) during the transition period for Medicaid recipients enrolled in the SMMC program. The transition will occur by Region in 3 Phases, beginning with Regions 9 through 11 on December 1st:
COC requirements ensure that when enrollees transition from one health or dental plan to another, one service provider to another, or one service delivery system to another (i.e., fee-for-service to managed care), their services continue seamlessly throughout their transition. The Agency has instituted the following COC provisions under its contract with LIBERTY:
More information about COC provisions can be referenced on the COC program highlight document, which is posted on the Agency’s website at www.ahca.myflorida.com/smmc . Once on the page, click Program Changes, then the Outreach and Presentations link.
LIBERTY Dental Plan is temporarily removing the requirement of Member Dental Home Assignment.
Effective immediately your office will only need to verify Eligibility prior to scheduling and treating our Medicaid enrollees. The enrollee does not need to appear on your roster in order to be seen. Additionally, based on claims received LIBERTY will transfer your patients to your office for you.
Members DO NOT need to call to transfer, if they require a transfer they can complete the transfer on our website.
Please refer to the provider alert Florida Medicaid Dental Home Assignment Relief sent on 1-23-2019 and posted on your secure provider portal for waiver period in your Region.
ATTN: All LIBERTY Dental Plan Network Providers
Please notify LIBERTY Dental Plan immediately if you anticipate or experience any disruption to your practice related to COVID-19. If your office temporarily closes during regular business hours, please ensure that patients are connected to a staff member so that their concerns are triaged appropriately. Additionally, please ensure that your after-hour phone messaging advises patients when you expect to reopen and how they can access emergency care.
We continue to monitor the coronavirus and its impact on our network dental practices and members’ ability to access care. We have taken steps to protect our staff including pausing office visits, but are committed to providing you with necessary support during this time. Our Provider Relations, Call Center, Claims, and Utilization Management Departments remain operational.
Coronavirus Resources for Dental Providers
Coronavirus (COVID-19) - American Dental Association Information Handout
On February 24, 2020, the American Dental Association (ADA) released an informational handout for dentists on the coronavirus disease, now named COVID-19 which . This handout covers strategies for helping to avoid the spread of suspected respiratory disease in the dental health care setting. It also answers commonly asked questions related to the virus. All the information is based on advice from the Centers for Disease Control and Prevention.
The ADA recommends that:
All LIBERTY Dental participating providers are required to complete the following training modules each calendar year:
To submit a written Grievance or Appeal, please use the link below to print and mail to LIBERTY Dental Plan, or complete the online form below.
This information is available for free in other formats. Please contact our customer service number at 1-833-276-0850 or TTY 1-877-855-8039 Monday through Friday from 8:00 a.m. to 8:00 p.m. (ET).
To report possible unethical business practices or potential illegal activity regarding our health Plan, our providers, vendors, or recipients, you may contact LIBERTY:
Compliance Hotline: (888) 704-9833
Mail: LIBERTY Dental Plan Compliance Department
You may remain anonymous if you prefer. All information received or will be treated as confidential, and the results of investigations will be discussed only with persons having a legitimate reason to receive the information.