Revised Date: 11-20-2013
Effective September 01, 2011, Legislation allows MHCP to begin enrolling individual Advanced Dental Therapists (ADT) to provide oral health services as specified within the scope of the collaborative management agreement for MHCP recipients.
ADTs providing services to enrollees in a managed care organization (MCO) must contact the MCO directly for enrollment requirements and coverage policy.
ADTs primarily provided services to low-income, uninsured and underserved recipients, or in dental care shortage areas. These settings may include assisted living facilities, federally qualified health centers (FQHC), rural health centers (RHC), community health clinics (CHC) or Indian health services (IHS). ADTs may practice in settings separate from the dentist under a Collaborative Management Agreement (CMA) with a licensed MN Dentist who provides general supervision.
MHCP requires ADTs to:
ADT’s must obtain an individual NPI through National Plan and Provider Enumeration System (NPPES),
Dental therapists who complete statutory requirements for certification as an ADTs must update their enrollment records. Complete, sign, and Fax the following forms and related documents to MHCP Provider Enrollment at (651) 431-7462:
MHCP Provider Enrollment will notify each applicant within 30 days of receiving the signed and completed application, agreement, and Collaborative Management Agreement of their enrollment status.
ADTs also practicing as dental hygienists under limited authorization must also complete the enrollment process that is identified at Limited Authorization Dental Hygienists
An ADT certified by the Minnesota Board of Dentistry may perform the following services and procedures within their scope of practice as identified in their written CMA under general supervision.
The ADT must not extract a tooth for a recipient if the tooth is:
Services not mentioned above or not designated in the CMA.
The ADT is prohibited from providing, dispensing, or administering a narcotic drug.
Bill all services completed using the following:
ADT services must be billed by an eligible MHCP enrolled group provider using the individual ADT NPI as the rendering provider to receive payment.
Reimbursement for services provided by ADTs will be made at the rate of:
MS 256B.0625 Subd. 59 Services Provided by Advanced Dental Therapists and Dental Therapists
MS 150A.05, Subd. 1a Licensed Dental Practice
MS 150A.10, Subd. 1a Limited Authorization for Dental Hygienists
MS 150A.105 Dental Therapist
MS 150A.105 Subd. 4c & d Dental Therapist allowed dental services
MS 150A.106 Advanced Dental Therapist