Welcome to the AmeriHealth Caritas DC dental provider network. We are committed to offering a dental benefit program that provides access to high quality oral health care. We are proud that you will provide dental services to our enrollees directly through your agreement with us.
As of January 1, 2019, the plan does not accept paper, handwritten, or faxed applications. AmeriHealth Caritas DC requires that all dental providers enroll with the Council for Affordable Quality Healthcare (CAQH) for credentialing and recredentialing.
Want to become a participating dental provider?
Professional providers must email the following information to email@example.com.
- Your recently updated and attested CAQH ID number
- Your W-9 (PDF) for your office or group and Ownership Disclosure Form (PDF)
- Your individual Medicaid ID number and a group Medicaid ID number for your office or group
- Your typewritten Practitioner Information (PI) Form (PDF), as handwritten applications are no longer accepted
For more information about our dental program or to access our dental portal, please refer to the resources below:
- December 14, 2021
Changes to the DC dental value-based compensation program for 2022 (PDF)
- August 5, 2021
Effective October 1, 2021, the fee for CDT D3110* will be reduced to $5 (PDF)
- July 9, 2021
Procedure codes that do not require pre-authorization (PDF)
- May 3, 2021
Network outreach (PDF)
- April 28, 2021
Effective December 1, 2020, providers can submit corrected claims via the provider web portal or through clearinghouse files (EDI) (PDF)
- June 15, 2020
Updates to dental provider manual (PDF)
- February 11, 2020
Limited oral evaluation dental provider notification (PDF)
- February 11, 2020
Service provided by dentist other than requesting dentist (PDF)
- December 6, 2018
AmeriHealth Caritas is now using the ADA® credentialing service, powered by CAQH ProView® (PDF)