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New Accounts - Provider | Member

kentucky Medicaid

Wellcare of Kentucky Medicare - Dental

Effective January 1, 2013, Avesis will be administering routine dental benefits for Wellcare of Kentucky Medicare Advantage Members. Avesis will be utilizing your office to provide dental benefits to members residing in the following Kentucky counties: Boone, Bourbon, Campbell, Clark, Fayette, Grant, Jefferson, Kenton, Pendleton and Scott.

Below you will find a sample image of the ID card that members will present for services. Wellcare of Kentucky dental members will be in one of the following plans: WellCare Access (HMO SNP) or WellCare Value (HMO-POS).

Members' benefits vary according to their individual coverage. As a participating provider, it is imperative that you verify eligibility and benefits on all members each time they present in your office. Please remember that only the services covered by the member's benefit plan will be paid by Avesis.

WellCare Value (HMO-POS) (Preventive Plus) plan benefits include routine preventive services such as exams, cleanings, x-rays, scaling and root planning and emergency services only. WellCare Access (HMO-SNP) (Dental 750) plan benefits include routine preventive services and comprehensive dental services.

If you are not currently an Avesis participating provider and are interested in participating in these programs, please complete the Provider Credentialing and Contracting paperwork located on the left hand side of the page. All participating providers must have a NPI number. If you do not have a NPI number, please click here to apply. If you have any questions please contact one of our Provider Services Representatives at 1-888-211-4016..

Send Completed Materials by mail to Provider Services at:

Mail To:

Avesis Third Party Administrators, Inc.
Attn: Kentucky Network Development
10324 South Dolfield Road
Owings Mills, MD 21117