Each MCO will send a provider representative to your office when you
contact them to discuss participation. They will inspect your office
briefly, looking for general cleanliness, patient accessibility,
sterilization procedures, etc. A list of what is specifically inspected
can be obtained prior to their visit. In general, should they find any
areas needing change, you will be given time to make necessary
As with any contract, do not sign until you have read
and understood its content. Contract language is negotiable in
areas not specifically limited by federal law. PDA offers contract
analysis free of charge to members.
Fees are negotiable with every
MCO. This is an open market situation. In general, the more they need
your services, the more they will reimburse you.
Call DPW to learn
exactly how many patients are enrolled (adults vs. children) in your
The following suggestions might be of help in your decision
- Obtain an updated list of dentists who
provide care for DPW patients by visiting their website.
Instructions for using this website are found under the Patient
Section of the Virtual Dental Van.
- Call some of these
participating dentists to determine if their offices are actively
accepting MA patients and to what degree they are
- Determine how long it takes to get an appointment
for examination/hygiene procedures and operative/treatment
- If you know any of the dentists who participate in
a given plan, ask about their experience with a given MCO.
the information to determine whether or not and to what degree you wish
to participate with DPW.
- If you have any limitations regarding
whom (e.g., by age, special health needs, etc.) you will treat, or what
services you will provide (e.g., dentures only), make these part of your
contract. Make sure any limitations are listed for patients to view
on any of the DPW websites. This will help you significantly reduce