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Provider Education Session Letter

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kentucky Medicaid

Health Partners Plans Medicaid and CHIP Dental

Avesis Third Party Administrators, Inc. joined with Health Partners Plans to administer the delivery of dental services to members enrolled in the Health Partners'(Medical Assistance) and KidzPartners(CHIP) programs starting January 1, 2012. Your participation will allow you to deliver dental services to the members enrolled in the Health Partners and KidzPartners programs.

As the administrator, Avesis is responsible for the administration of all aspects of the dental programs noted below, including the dental provider network, eligibility verification and claims processing for covered dental services provided to eligible members.

About the Programs

If you are not currently an Avesis contracted dental provider and are interested in participating in these programs, please complete the Provider Credentialing and Contracting paperwork by following the link below and mail them to the Avesis address indicated below. Providers must have an NPI number and a State issued identification number (PROMISe number) for each location participating in the program. If you have any questions please contact one of our Provider Services Representatives at 855-536-7764.

If you need to obtain a PROMISe ID number please visit the following website: http://promise.dpw.state.pa.us.

Send Completed Materials by mail to:

Mail To:

Avesis Third Party Administrators, Inc.
Attn: Provider Dental Contracting
10324 Soulth Dolfield Road
Owings Mills, MD 21117