Office Reference Manual

Office Reference Manual
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.
 
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.
The Office Reference Manual (ORM) is a resource designed to assist dental providers and their teams in understanding the MassHealth Dental Program. It provides key information on covered services, claim submission, and other important policies and procedures.
 
The ORM is regularly updated to reflect changes in policies, procedures, and regulations, so please check back frequently for the most current information.
 
Please note: If there is a conflict between the ORM and official MassHealth regulations, the regulations take precedence in every case.
 
Please refer to the MassHealth website for complete Dental and All Provider Manuals which contain the regulations:https://www.mass.gov/lists/dental-manual-for-masshealth-providers.