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Allied Oral Health Professional (Overview)

Date: 02-09-2012

Dental Therapists (DT) and Advanced Dental Therapists (ADT)

Effective September 01, 2011, Legislation allows MHCP to begin enrolling individual dental therapists (DT) and advanced dental therapists (ADT) to provide oral health services for MHCP recipients as specified within their scope and collaborative management agreement (CMA).

DTs and ADTs providing services for MHCP recipients must enroll and be identified as the treating provider on claims.

DT and ADT’s providing services to enrollees in a managed care organization (MCO) must contact the MCO directly for enrollment requirements and coverage policy.

Collaborative Management Agreement (CMA)

  • • Licensed DTs must retain a Minnesota Board of Dentistry approved CMA with a licensed dentist. Any changes in the agreement must be reported to the Board.
  • • The collaborating dentist accepts responsibility for all services authorized and performed by the DT authorized in the CMA. Permitting a ADT or DT to perform a dental service other than those authorized violates sections 150A.01 to 150A.12
  • • CMAs must be signed and maintained by the collaborating dentist and the DT.
  • • CMAs Must be reviewed, updated and submitted to the Board of Dentistry on an annual basis
  • • DTs who subsequently become certified as ADTs must provide an updated CMA to MHCP and a copy of their Board of Dentistry ADT certification.
  • Limited Authorization Dental Hygienists

    Dental hygienists practicing under the Limited Authorization Statute may provide dental hygiene services for MHCP recipients as specified within their scope and collaborative agreement. A dentist is not required to first examine the patient or be present. Limited authorization hygienists providing services within their scope of practice for MHCP recipients must enroll and be identified as the treating provider on claims.

    They must be employed or retained by one of the following MHCP-enrolled groups:

  • • Health care facility
  • • Program (such as Head Start)
  • • Nonprofit organization
  • Individual CP hygienists must indicate their group affiliations on their applications.

    Groups must include their enrolled CP hygienists using the Organization MHCP Provider Profile Change Form (DHS-3535A).

    Collaborative Agreement (CA)

  • • A limited authorization dental hygienist must have a CA with a Minnesota licensed dentist
  • • The agreement must be in accordance with Minnesota Statute 150A.10 subd.1a,(c) and should be registered with the Minnesota Board of Dentistry
  • Eligible Providers

    Advanced Dental Therapists (ADT)
    Dental Therapists (DT)

    Limited Authorization Dental Hygienists

    Eligible Recipients

    Not all MHCP recipients have coverage for dental services. Determine eligibility for dental services using the major program code assigned to the recipient and the dental service section of the MHCP Benefits at-a-glance chart. Review both the Dental for Children & Pregnant Women and Dental for Non-Pregnant Adults. For non-pregnant adults, the 2009 Minnesota Legislature made significant changes to MHCP dental coverage.

    Covered Services

    Refer to the following sections of our MHCP Provider Manual for coverage and billing information.

    Advanced Dental Therapists (ADT)
    Dental Therapists (DT)

    Limited Authorization Dental Hygienists

    Legal References

    Laws of Minnesota 2011, 1st, Special Session, Chapter 9, Article 6, Section 48, to be codified at Minn. Stat. § 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
    MS 152.01, Subd. 10
    Narcotic drug

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