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Starting January 1, 2023, more adults will be eligible for Oregon Health Plan (OHP) dental benefits.
The 2022 Oregon Legislature passed bills to expand OHP dental coverage to these groups:
People who live in Oregon and don't qualify for full OHP benefits.
For the Veteran Dental Program, you must also:
For the COFA Dental Program, you must also:
In order to apply for one of these dental-only programs, you need to apply for OHP. If you don't qualify for full OHP, then you will be reviewed for these dental-only programs. All help is free and available in multiple languages. You can apply:
The COFA Dental and Veteran Dental programs have the same dental care as OHP Plus, such as:
This is just some dental care that these dental programs cover. Learn more about OHP dental benefits.
This care is free. You do not need to pay for dental care covered by these programs.
You will be enrolled with a coordinated care organization (CCO). Your CCO will mail you a welcome packet. The packet will contain a CCO member ID card and information about covered services.
Ask your CCO about how to find a provider and access dental services.
Moda Health will cover prescriptions from your dentist if they are:
Call Moda Health at 1-800-913-4284 to:
From the time you are approved for OHP Dental, it can take two or three weeks to enroll in a CCO.
You will be enrolled with Moda Health the first Thursday after you are approved for OHP Dental. Moda Health will mail you an ID card in 7 to 10 days after that.
If your insurance has prescription drug coverage, your pharmacy should bill your insurance first.
Moda Health can accept claims for 90 days from the date of service. If it is within 90 days of the date you filled your prescription, you can ask your pharmacy to rebill the claim.
If your pharmacy will not rebill the claim, you can ask Moda to pay you back. To do this, fill out this claim form. Mail or fax it to:
Navitus Health Solutions, LLCPO Box 999Appleton WI 54912-0999Fax: 1-855-668-8550
COFA Dental Program talking points:
Veteran Dental Program fact sheet:
Frequently Asked Questions: DCO Transition and New Dental Programs
COFA Dental Program fact sheet:
Apply for OHP to get started
Learn more about CCOs and their dental networks
Learn more about using your OHP and finding providers
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