Delta Dental Insurance
Texas Children’s Medicaid and CHIP Dental Services
Announcements
- Delta Dental no longer providing services for Texas Medicaid and CHIP Dental Services Program
- On December 1, 2012 Delta Dental will no longer be a provider of dental services for the Texas Medicaid and CHIP Dental Services Program. Medicaid Providers: To find out what new dental plan the member has, please visit the Your Texas Benefits provider portal or ask the member for a dental plan ID card. You may have the member contact 1-800-964-2777 for information. Texas CHIP Providers: To find out what new dental plan the member has, ask the member for a dental plan ID card or call 1-800-645-7164.
- Prior Authorization of NEW Orthodontia
- Effective October 1, 2012, Delta Dental is unable to process prior authorization requests for NEW orthodontia cases for Texas Medicaid or CHIP Members. Providers should submit these prior authorization requests to the Member’s new dental plan on or after December 1, 2012. Members will receive their new plan assignments prior to the effective date of December 1.
Essential Documents
- Provider Manual – New March 2012 PDF, 4.83MB
- Texas Medicaid Orthodontic Services PDF, 78KB
- Web Claims Submission User Guide PDF, 2MB
- Texas CHIP Fee Schedule PDF, 12KB
- Texas Medicaid Fee Schedule PDF, 58KB
Other Documents
- Texas Medicaid Orthodontic Criteria FormPDF, 33KB
- Texas Medicaid General Anesthesia FormPDF, 35KB
- Texas Medicaid Claim Inquiry FormPDF, 69KB
- Texas CHIP Claim Inquiry FormPDF, 69KB
- Texas CHIP Complaint FormPDF, 64KB
- Texas CHIP Appeal FormPDF, 68KB
- Texas CHIP Fraud, Waste and Abuse FormPDF, 33KB
- Texas Medicaid Complaint FormPDF, 21KB
- Texas Medicaid Appeal FormPDF, 24KB