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MassHealth is a state-funded program and, as such, is subject to annual budget decisions. The Massachusetts state budget runs on a fiscal-year cycle that begins on July 1 and ends June 30 of the following year. MassHealth adult dental benefits have been a frequent target over the past years, with significant benefit reductions that have created havoc for patients and providers. While adult restorative dental benefits were reinstated in 2014 and some additional periodontal benefits will be restored effective April 22, 2019—crowns and root canals are still not covered. These are steps in the right direction but the Massachusetts Dental Society (MDS) will continue to advocate to legislators for full reinstatement of all adult dental benefits.

About MassHealth

Restoring MassHealth Benefits

MassHealth Licensing Requirement for Dentists

Licensing Attestation Questions

Massachusetts dentists are required to renew their dental licenses by March 31, 2020. M.G.L. c. 112, s. 45 mandates that the Board of Registration in Dentistry (BORID) condition the renewal of all dental licenses on a dentist’s application to participate in MassHealth as an Ordering, Referring, and Prescribing (ORP) non-billing provider unless the dentist is already enrolled as an approved billing provider. Accordingly, you will not be permitted to renew your dental license unless and until you submit an ORP enrollment form to MassHealth. 

While this law went into effect in November 2017, this is the second time that Massachusetts dentists will need to attest to participating as a MassHealth provider or as a non-billing provider as a condition of the license renewal process.

Attestation Questions (Note: You must answer 'yes' to both related questions)
Are you enrolled in MassHealth as a fully participating provider or non-billing provider OR have you submitted a thoroughly completed application to be a fully participating provider and a signed provider contract with MassHealth? 

Do you consent to the Bureau of Health Professions Licensure and the Massachusetts Executive Office of Health and Human Services, and its enrollment vendor, to obtain, read, copy and share with each other information regarding your MassHealth application and enrollment status and professional licensure status? 

Non-Billing Provider/Licensing Requirement Q&A

Become a MassHealth Provider

New MassHealth Dental Provider Web Portal

Patient Load Q&A

What Is a Taxonomy Code?

Having Problems with MassHealth?

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