Requests have been made for the Medicaid Dental Manual, which can be found here: https://bms.wv.gov/chapter-505-oral-health-services Please note, the MCOs are allowed to have different pre-authorization requirements; however, they report wanting to be consistent...
State dental boards around the country are reporting a scam in which callers impersonate board investigators or federal agents and claim a dentist’s license is under investigation for illegal prescribing or drug related offenses. Callers may spoof official phone...
WV Medicaid will host virtual workshops on Medicaid updates, April 21, 23, and 29th from 1:30-4:15pm. Please see information below to register or to ask questions. [pdf-embedder url="https://wvdental.org/wp-content/uploads/2026/03/March-2026-MSFAC-Presentation.pdf"...
Is Your Dental Practice a Cyber Target? The answer, increasingly, is yes! Here's what you need to know. Healthcare is now the most attacked sector in the U.S. for cybercrime, and dental practices are a growing target. Your patient files contain a uniquely valuable...
Healthcare is now the most attacked sector in the U.S. for cybercrime, and dental practices are a growing target. Your patient files contain a uniquely valuable combination of personal, financial, and medical data while your IT defenses are typically far leaner than a...
The WVDA is aware of the new memo from Liberty regarding potential denial of claims POST-procedure. We are seeking further guidance from WV Medicaid.
Members have contacted the WVDA seeking further direction related to the Skygen/MCO audit findings. Background: Skygen performed audits that included SDF overpayment determinations Medicaid invalidated the findings specifically about SDF due to a lack of policy...
Patient lawsuit alleges Delta Dental misrepresents out-of-network coverage A class-action lawsuit filed by patients insured by Delta Dental alleges the insurer misrepresents its out-of-network coverage. The lawsuit, which was filed Dec. 31, 2025, in the U.S. District...
ADA Releases Medicaid Financial Sustainability Toolkit Providing dental care to Medicaid beneficiaries can be professionally fulfilling for many dentists. However, the ADA recognizes that dentists and their teams are making a substantial commitment by treating...