Dental Provider Toolkit
Important Transition Notice:
MassHealth has determined that, despite a concerted effort towards systems integration with BeneCare, it is in their interest to change the MassHealth Dental Program administration. MassHealth is reverting to their prior administrator. BeneCare is working closely with MassHealth to ensure an orderly transition of the MassHealth Dental Program administration.
MassHealth has determined that, despite a concerted effort towards systems integration with BeneCare, it is in their interest to change the MassHealth Dental Program administration. MassHealth is reverting to their prior administrator. BeneCare is working closely with MassHealth to ensure an orderly transition of the MassHealth Dental Program administration.
BeneCare will no longer administer the MassHealth dental program as of January 31, 2026.
Upcoming last dates to submit to BeneCare:
- New credentialing and re-credentialing applications: Friday January 23 , 2026 by 5pm ET
- Claims and prior authorization requests: Friday, January 30, 2026 by 5pm ET
- Reconsiderations, inquiries, and voids: Friday, January 30, 2026 by 5pm ET
Starting February 1, 2026, please visit MassHealth-Dental.org to submit credentialing and re-credentialing paperwork; claims and prior authorization requests; and reconsiderations, inquiries, and voids.
For more details, please visit the TPA Transition page.
Tools & Resources
Orthodontics Job Aid: Submissions and Documentation Requirements
Recoupment Job Aid – updated 12/29/2025
Service Authorization Letters Job Aid
Claim EOB Reason Code Crosswalk
Decision Support for MassHealth Dental Coverage: Crowns and Core Buildup
Helpful Resources and Reminders
Forms
Add Form – when adding an additional provider, who is already credentialed with MassHealth, to an existing practice.
Change Form – to change name, address, TIN, EFT, to terminate, etc.
Credentialing Application – for each participating dentist.
Reconsideration Request Form – to submit within 30 days of the clinical or administrative claim.
Void Request Form – to void claims