FAQs: For Providers
Learn About Your New Dental Third-Party Administrator
The Executive Office of Health and Human Services (EOHHS) has contracted with BeneCare Dental Plans (BeneCare) to provide dental third-party administrator (TPA) services for MassHealth, the Children’s Medical Security Plan (CMSP), and the Health Safety Net (HSN).
The new Dental TPA is BeneCare, and their anticipated operational start date will be April 1, 2025. BeneCare has extensive experience as a dental TPA and has been the dental TPA for the Connecticut Medicaid program since 2008. MassHealth is excited to bring BeneCare’s outcome-based dental care model to Massachusetts. The model was originally developed in 1979 by a group of dental professionals and is designed to increase access and lower cost by helping to improve the oral health of the populations served.
No. MassHealth sets the policies, procedures, and clinical guidelines for dental services.
Everything dental providers need should be accessible under the tab up top labeled: Dental Providers. News and Updates will be kept current there as will the Office Reference Manual. Your Dental Provider Toolkit will be a handy resource for the forms, instructions, and guides you will need. Lastly, the Provider Login will bring you to a secure area to look up MassHealth member information, submit claims and prior authorizations.
It’s easy. Simply complete our Contact Form and you will be added to our mailing list.
No. You are already contracted with MassHealth, and your status as a MassHealth provider is not anticipated to be affected by the Dental TPA transition.
Beginning March 17, 2025, claims can be submitted to BeneCare through one of the following ways:
- Through the secure area of the website: Provider Login | BeneCare MassHealth. Simply login with your Billing NPI Number, Tax ID or SSN to get started.
- Electronically through a clearinghouse using MassHealth Payer ID, CKMA1.
- Mail to PO Box 631, Worcester MA 01613
- Batch claims can be submitted through a direct trading partner account. Please contact our EDI team @ edi@massdhp.com.
Yes. Please see MassHealth regulations at 130 CMR 420.406: Caseload Capacity.
If your electronic funds transfer (EFT) enrollment information is current and up to date, you won’t need to re-enroll. If you need to update any of your information, please contact BeneCare at: providerrelations@massdhp.com
First, see if your questions can be answered on the website. If they cannot, contact us at 844-MH-DENTL (844-643-3685).
Join us. The MassHealth Dental Program is one of the largest dental plans in Massachusetts, serving over two million eligible members. The population is diverse, ranging from children to adults to seniors, with a wide range of dental needs. By becoming a MassHealth dental provider, you will help eligible members get access to dental services. Contact us at: providerrelations@massdhp.com to find out more.
The MassHealth Dental Provider Relations team, are based in in the heart of Massachusetts and are ready to answer your questions.
Simply reach out: providerrelations@massdhp.com for questions regarding new enrollment, credentialing or re-credentialing, training and/or education.
For questions regarding eligibility, benefits, claims or claims payments, please reach out to our customer service team at 844-MH-DENTL (844-643-3685).
Email the MassHealth Dental Provider Relations team, supported by BeneCare, at providerrelations@massdhp.com.