Kentucky Medicaid – Dental Program
As of January 1, 2013, WellCare of Kentucky and CoventryCares has expanded into Region 3/31 and Avesis will administer the dental benefits for those members in Region 3/31 as well as the members in their current regions. Region 3/31 consists of the following counties: Breckinridge, Bullitt, Carroll, Grayson, Hardin, Henry, Jefferson, Larue, Marion, Meade, Nelson, Oldham, Shelby, Spencer, Trimble, and Washington.
As of September 1, 2012, Avesis Third Party Administrators, Inc. became the dental program administrator for Wellcare of Kentucky, a contracted managed care organization with the Kentucky Department of Medicaid Services. Avesis administers services for eligible Kentucky Medicaid members enrolled in the plan.
As of October 1, 2011, Avesis Third Party Administrators, Inc. became the dental program administrator for CoventryCares. Avesis is currently administering services for eligible Kentucky Medicaid members enrolled in CoventryCares of Kentucky, a Medicaid product of Coventry Health and Life Insurance Company.
If you are interested in participating in the Kentucky Medicaid program please complete the Credentialing and Contracting paperwork by clicking here . If you have any questions please contact one of our Provider Services Representatives at 855-214-6776.
Please click here to access KY Medicaid Dental Care Program Provider Forms.
Providers wanting to participate in the Kentucky Medicaid program administered by Avesis must have a NPI, current Medicaid ID number and fill out a Kentucky State Application. To apply for a NPI number click here; to apply for a Kentucky Medicaid ID number click here.
Send Completed Materials by mail to Provider Services:
Mail To:Avesis Third Party Administrators, Inc.
Attn: Kentucky Network Development
10324 South Dolfield Road
Owings Mills, MD 21117