Are You in Compliance?
Learn more about upcoming deadlines through 2024 regarding licensing and certification requirements for dental professionals in Massachusetts.
Dentist License Renewal: Massachusetts dentists are required to complete 40 continuing education credits and renew their dental licenses by March 31, 2024.
Dental Hygienists License Renewal: All Massachusetts dental hygienists are required to complete 35 continuing education credits and renew their dental hygiene licenses by March 31, 2025.
Dental Assistant License Renewal: All Massachusetts dental assistants are required to complete 12 continuing education credits and renew their licenses by November 1, 2023.
ORP Claims Submission Requirements
If MassHealth requires a service to be ordered, referred, or prescribed, then the following claims submission requirements must occur to receive payment.
- The National Provider Identifier (NPI) of the ORP provider must be included on the claim.
- The ORP provider must be actively enrolled with MassHealth as a fully participating provider or as a non-billing provider and be an authorized ORP provider.
Temporary Hold Lifted
During COVID 19 MassHealth temporarily put a hold on the ORP claims submission requirements. Effective July 1, 2023 the requirements will be reinstated. This reinstatement applies to all services that require ORP and have dates of service on or after July 1, 2023. All claims will be denied if they do not meet the ORP claims submission requirements: For more information please refer to the All Provider Bulletin 361: Start Dates for Enforcing Ordering, Referring, and Prescribing Requirements.
For additional information on the ORP non-billing provider requirements and how to enroll with MassHealth, please call the DentaQuest Credentialing Customer Service Center (MassHealth) at 800.233.1468.