Medicaid Fraud:What is it and How to Report it?

What is Medicaid Fraud? Medicaid fraud is the intentional misrepresentation by a provider or Medicaid recipient with the knowledge that the fraudulent action would result in any type of unauthorized benefit for oneself or another individual. Common Types of Fraud that can be Identified on a Billing Statement Upcoding: Providers use a coding system to […]

Complaints, Grievances & Appeals

Complaints A complaint is any oral or written expression of dissatisfaction by an enrollee submitted to the Dental Plan or to a state agency and resolved by close of business the following business day. Submit a complaint to your Dental Plan DENTAQUEST Call: 1-888-468-5509 TTY 1-800-466-7566 LIBERTY Call: 1-833-276-0850 TTY 1-877-855-8039 MCNA Dental Call: 1-855-699-6262 […]

Services Guide for Children

Information about your plans dental services was retrieved from the Medicaid member handbooks: DentaQuest, LIBERTY, and MCNA Dental on June 23rd, 2023.  You may need a referral from your doctor, dentist, or approval from your dental plan before you go to an appointment or use a service. Services must be medically necessary in order for […]

Florida Medicaid Patient’s Rights

Get Informed – Your Patient Rights 1You should be treated with courtesy and respect. Your dignity and privacy should always be respected. You can always file a complaint when your rights are not respected. 1 2Receive a quick and useful response to your questions and requests. 2 3Know what member services are available, including whether […]