Dental Provider Announcements

04/2024

04/2024Continuing Education (CE) webinar: Role of the Dental Care Provider in Tobacco Recovery

Please join us for a live, continuing education (CE)-accredited webinar on Wednesday, June 26, from noon to 1 p.m. that will provide an overview of dental care in tobacco recovery.

During this presentation, attendees will learn:

The impact of tobacco use on dental health.
When to use the 5 As and 5 Rs strategies.
About nicotine replacement therapies and other FDA-approved oral medications.
How to become a tobacco cessation counselor.
Billing for cessation codes under Medicaid.

Presenters:

Jaspreet S. Brar, MBBS, MPH, PhD, Senior Fellow, Department of Psychiatry, UPMC Western Psychiatric Hospital and Community Care Behavioral Health Organization
Sarah Goard, RDH, PHDHP, BS, Public Health Dental Hygiene Practitioner, Dental Care Manager, UPMC for You

Register now.

This course has been approved by the Pennsylvania Academy of Dental Hygiene Studies. “Academy Approval” indicates that a continuing education course appears to meet selected criteria. It is the responsibility of each participant to determine if a particular course is acceptable for license renewal. However, applicants should be aware that not all courses offered and approved by the Academy are approved for continuing education credits by the State Board of Dentistry. The Academy does not endorse or recommend any individual continuing education course and is not accountable for the quality of any course content. Certificates of Attendance should be retained by licensees in their own personal professional file.

The advertised presentation is a live webinar format according to the regulations of the SBOD.

Provider is responsible for verifying CE eligibility.

02/2024Continuing Education (CE) webinar: Maternal and Infant Oral Health

Please join us for a live, CE-accredited webinar on Wednesday, May 15, from noon to 1 p.m. that will provide an overview of early childhood oral health.

During this presentation, experts will:

Describe the importance of prenatal oral health.
Reflect on pregnancy outcomes related to oral health.
Describe infant oral care and ways to prevent dental caries.

Presenters:

Dana Shaffer, RDH, PHDHP, MEd, Dental Care Manager
Jasmine Morales, RDH, PHDHP, Dental Care Manager

Register now.

This course has been approved by the Pennsylvania Academy of Dental Hygiene Studies. “Academy Approval” indicates that a continuing education course appears to meet selected criteria. It is the responsibility of each participant to determine if a particular course is acceptable for license renewal. However, applicants should be aware that not all courses offered and approved by the Academy are approved for Continuing Education credits by the State Board of Dentistry. The Academy does not endorse or recommend any individual continuing education course and is not accountable for the quality of any course content. Certificates of Attendance should be retained by licensees in their own personal professional file.

The advertised presentation is a live webinar format according to the regulations of the SBOD.

Provider is responsible for verifying CE eligibility.

01/2024Continuing Education (CE) webinar: Age 1 Dental Visit

Please join us for a live, CE-accredited webinar on Wednesday, Feb. 21, from noon to 1 p.m. The webinar will provide an overview of the Age 1 Dental Visit. During this presentation, experts will discuss:

Encouraging providers to see and treat our pediatric members under 3 years old.
Training providers on the ease of techniques for treatment of our pediatric members.
Training providers to encourage their adult patients to schedule appointments for their children under 3 years old.

Presenters:

Mary Bearer, RDH, PHDHP, Dental Care Manager
Ashley Bonsell, RDH, PHDHP, BS, Dental Care Manager

Register now. This course has been approved by the Pennsylvania Academy of Dental Hygiene Studies. “Academy Approval” indicates that a continuing education course appears to meet selected criteria. It is the responsibility of each participant to determine if particular course is acceptable for license renewal. However, applicants should be aware that not all courses offered and approved by the Academy are approved for Continuing Education credits by the State Board of Dentistry. The Academy does not endorse or recommend any individual continuing education course and is not accountable for the quality of any course content. Certificates of Attendance should be retained by licensees in their own personal professional file.
The advertised presentation is a live webinar format according to the regulations of the SBOD.
Provider is responsible for verifying CE eligibility.

01/2024Continuing Education (CE) webinar: Behavioral Health Services—How to Navigate and Access Treatment

Please join us for a live, CE-accredited webinar on Wednesday, March 13, that will provide an overview of Behavioral Health Services available for your patients. During this presentation, experts will discuss:

An overview of Community Care Behavioral Health Organization (Community Care).
An overview of the UPMC Community HealthChoices (UPMC CHC) program (Physical Health, Behavioral Health, and Community HealthChoices).
An overview of the Behavioral HealthChoices program and services available.
The Behavioral Health prevalence rates.
How to coordinate and collaborate with Community Care.
The UPMC Dental Care Management Team.

Presenters:

Duncan Bruce, MS, LPC, LBS, Director of MCO Integration, Community Care Behavioral Health Organization
Alaina Stango, RDH, PHDHP, BS, Sr. PHDHP Project Analyst, UPMC

Register now. This course has been approved by the Pennsylvania Academy of Dental Hygiene Studies. “Academy Approval” indicates that a continuing education course appears to meet selected criteria. It is the responsibility of each participant to determine if particular course is acceptable for license renewal. However, applicants should be aware that not all courses offered and approved by the Academy are approved for Continuing Education credits by the State Board of Dentistry. The Academy does not endorse or recommend any individual continuing education course and is not accountable for the quality of any course content. Certificates of Attendance should be retained by licensees in their own personal professional file. The advertised presentation is a live webinar format according to the regulations of the SBOD. Provider is responsible for verifying CE eligibility.

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2023 Announcements

06/2023UPMC Dental Advantage provider web portal training

UPMC Dental Advantage and SKYGEN invite our provider community to participate in an upcoming provider web portal training. The provider web portal training will cover important topics relevant to our providers, such as:

How to check member eligibility.
How to submit a claim:
- How to submit COB claims.
- How to submit corrected claims.
- How to submit authorization requests.

How to attend the online webinars: To attend a webinar, join at least five minutes before the session is scheduled to start. Click on the “RingCentral” link for the meeting you want to attend:

Friday, June 16, 2023, 10:30 to 11:30 a.m. (EST)
- “RingCentral” link – meetings.ringcentral.com/j/1486567012
- For audio over your telephone, dial 1-312-263-0281.
- At the prompt, enter the access code 148 656 7012#.
Thursday, June 22, 2023, 10 to 11 a.m. (EST)
- “RingCentral” link – meetings.ringcentral.com/j/1459752209
- For audio over your telephone, dial 1-773-231-9226.
- At the prompt, enter the access code 145 975 2209#.
Monday, June 26, 2023, 1 to 2 p.m. (EST)
- “RingCentral” link – meetings.ringcentral.com/j/1482366328
- For audio over your telephone, dial 1-312-263-0281.
- At the prompt, enter the access code 148 236 6328#.
Wednesday, June 28, 2023, 12:30 to 1:30 p.m. (EST)
- “RingCentral” link – meetings.ringcentral.com/j/1465365869
- For audio over your telephone, dial 1-773-231-9226.
- At the prompt, enter the access code 146 536 5869#.
Thursday, July 6, 2023, 11 a.m. to noon (EST)
- “RingCentral” link – meetings.ringcentral.com/j/1487981204
- For audio over your telephone, dial 1-312-263-0281.
- At the prompt, enter the access code 148 798 1204#.
Wednesday, July 12, 2023, 10 to 11 a.m. (EST)
- “RingCentral” link – meetings.ringcentral.com/j/1481915418
- For audio over your telephone, dial 1-646-357-3664.
- At the prompt, enter the access code 148 191 5418#.
Thursday, July 13, 2023, 3 to 4 p.m. (EST)
- “RingCentral” link – meetings.ringcentral.com/j/1463985833
- For audio over your telephone, dial 1-773-231-9226.
- At the prompt, enter the access code 146 398 5833#.
Thursday, July 20, 2023, 10 to 11 a.m. (EST)
- “RingCentral” link – meetings.ringcentral.com/j/1456494730
- For audio over your telephone, dial 1-646-357-3664.
- At the prompt, enter the access code 145 649 4730#.
Thursday, July 27, 2023, 11:30 a.m. to 12:30 p.m. (EST)
- “RingCentral” link – meetings.ringcentral.com/j/1486479910
- For audio over your telephone, dial 1-646-357-3664.
- At the prompt, enter the access code 148 647 9910#.

For more information, please contact SKYGEN’s Portal Services team at 1-844-621-4576 or email dentalproviderportal@skygenusa.com.

03/2023CPR classes with an exclusive discount

UPMC Dental Advantage participating providers can use an exclusive discount on EnjoyCPR classes.

Program and discount are offered by a third-party vendor. This offer may be cancelled at any time without notice.

01/2023COVID-19 vaccine booster updates

COVID-19 Dental Advantage Communication – July 1, 2020

On March 15, 2021, the American Dental Association entered new dental procedure codes to document the delivery of COVID-19 vaccinations upon FDA approval and as permitted under state laws governing scope of practice. Each vaccine has a unique code for administration, and allowable codes will be updated as this information is released or updated by the American Medical Association, Centers for Medicare and Medicaid Services, and Pennsylvania Department of Human Services.

UPMC Health Plan is requesting that claims be submitted via the CMS 1500 Form to the medical claim reimbursement address below. Complete the health insurance claim form.

Note: All Medicare vaccine claims should be billed to Original Medicare (FFS) through 2021.

Claim forms can be sent to the addresses noted per specific line of business.

UPMC Community HealthChoices (Medical Assistance)

UPMC Community HealthChoices
PO Box 106042
Pittsburgh, PA 15230-2995

UPMC for Kids (CHIP)

UPMC for Kids
PO Box 2999
Pittsburgh, PA 15230-2999

UPMC for You (Medical Assistance)

UPMC for You
PO Box 2995
Pittsburgh, PA 15230-2995

UPMC Health Plan (Commercial)

UPMC Health Plan
PO Box 2999
Pittsburgh, PA 15230-2999

Dental Procedure Code:	Description:
D1701	Pfizer Vaccine Admin Dose 1
D1702	Pfizer Vaccine Admin Dose 2
D1703	Moderna Vaccine Admin Dose 1
D1704	Moderna Vaccine Admin Dose 2
D1705	AstraZeneca Vaccine Admin Dose 1
D1706	AstraZeneca Vaccine Admin Dose 2
D1707	Janssen Vaccine Admin Single Dose

While use of the CMS 1500 form is encouraged, in the event a claim is submitted on an ADA dental claim form, the claim will be processed through the member’s UPMC Health Plan medical coverage.

UPMC Health Plan does not practice medicine or exercise control over the methods or professional judgments by which providers render medical services to members. Nothing in these materials should be construed to supersede or replace the clinical judgment of a provider.

Providers are responsible for appropriate billing of services. These suggested codes are not meant to provide or supersede clinical judgment.