Dental Director. The MCO must have a Dental Director who is not required to be full time, but must be sufficiently dedicated to meet the roles and responsibilities of the position. The MCO's Dental Director must be a dentist with a current, unencumbered license with the Ohio State Dental Board. The primary roles and responsibilities of the Dental Director include: Developing and leading the MCO's dental strategy to meet ODM requirements, incorporating oral health prevention and treatment into the MCO's population health efforts and the delivery of holistic, person- centered, integrated care; Developing and implementing strategies to expand member access to dental services, including recruiting and expanding the service delivery capacity of dental providers; Overseeing MCO performance on dental performance measures as specified in Appendix I, Quality Measures; Implementing an ODM-developed, unified dentist manual and prior authorization requirements; and Overseeing utilization management of dental benefits to ensure members receive timely, appropriate, and medically necessary dental care.
Appears in 4 contracts
Samples: Ohio Medicaid Provider Agreement for Managed Care Organization, Ohio Medicaid Provider Agreement for Managed Care Organization, Ohio Medicaid Provider Agreement for Managed Care Organization
Dental Director. 1. The MCO must have a Dental Director who is not required to be full time, but must be sufficiently dedicated to meet the roles and responsibilities of the position.
2. The MCO's Dental Director must be a dentist with a current, unencumbered license with the Ohio State Dental Board.
3. The primary roles and responsibilities of the Dental Director include: Developing and leading the MCO's dental strategy to meet ODM requirements, incorporating oral health prevention and treatment into the MCO's population health efforts and the delivery of holistic, person- person-centered, integrated care; Developing and implementing strategies to expand member access to dental services, including recruiting and expanding the service delivery capacity of dental providers; Overseeing MCO performance on dental performance measures as specified in Appendix I, Quality Measures; Implementing an ODM-developed, unified dentist manual and prior authorization requirements; and Overseeing utilization management of dental benefits to ensure members receive timely, appropriate, and medically necessary dental care.
Appears in 1 contract
Samples: Ohio Medicaid Provider Agreement
