Office Reference Manuals

Provider Communications

Provider Training

Cultural Competency

Prior Authorization

Medicaid Members' Rights and Responsibilities

CHIP Members' Rights and Responsibilities

Provider Complaints and Appeals

• Phone: 800-896-2374
• Fax: 262-834-3452
• Email: TXCGASubmission@dentaquest.com
• You can also reach the Texas Health and Human Services Commission at HPM_Complaints@hhsc.state.tx.us

Texas Medicaid Healthcare Partnership

Texas Health and Human Services

Texas Health Steps Provider Information

For more information on the Medicaid and CHIP Vendor Drug Program, please visit their site at: https://www.txvendordrug.com/

To access the Medicaid formulary and Preferred Drug List (PDL) on HHSC’s website, please visit the following link: https://www.txvendordrug.com/formulary

Philosophy: DentaQuest is committed to a close partnership with the Providers in our network to ensure a successful program that allows Providers to easily render care to Members. Our goal is to ensure that Providers are given the tools to not only address critical dental needs quickly but also receive the support and reimbursement for their work. As part of our mission to improve oral health in Texas, we have formed a Provider Advisory Committee to identify program needs and challenges, advice on ways to address them, and proactively address concerns for oral health in the state.

Committee Mission 
To provide DentaQuest with feedback and insight into:

• The overall view of DentaQuest in the state
• How the program is running
• Improvements that can be made to the administration of the program
• Identifying benefits that need review/change
• Suggest additional outreach possibilities for overall oral health
• Member education topics

To Providers: Please update your enrollment and demographic information with TMHP (Texas Medicaid Healthcare Partnership). TMHP is HHSC’s provider enrollment administrator and serves as the authoritative source for HHSC Providers’ enrollment and demographic information. Once you update your enrollment and demographic information with TMHP, your data will be reconciled with the demographic information on file with the MCOs.  To make updates to your current enrollment (e.g., new practice locations or change of ownership updates), please access Provider Enrollment on the Portal - A Step-by-Step Guide. 

For instructions on how to make other demographic updates to your current enrollment, please access the Provider Information Management System (PIMS) User Guide.

Otherwise, you can contact TMHP directly at 800-925-9126 for assistance. 

Learn how to submit a complaint as a Medicaid Provider.

Find important notices including:

• Claim Reminders - Billing/Rendering
• Anesthesia Prior Authorization Process Effective July 1, 2017
• Texas Administrative Code (TAC) – Records and Sedation Requirements

DentaQuest Provider Notices