Join Our Network

Not part of our dental provider network? Join now and make an impact!

You can make a positive impact on the oral health of your community while making a positive effect on your practice. We go beyond the chair, connecting oral health leaders and the broader health community to improve access and outcomes for everyone. And we want you to join us. You'll find the information you need to join our network — including an improved online enrollment and credentialing tool — in the helpful links below. All Medicaid MCO/DMOs must utilize the Texas Association of Health Plans’ (TAHP’s) contracted Credentialing Verification Organization (CVO) as part of its credentialing and re-credentialing process regardless of membership in the TAHP. The CVO is responsible for receiving completed applications, attestations and primary source verification documents.  

Preferred Application: CAQH: The Council for Affordable Quality Healthcare (CAQH) offers a single credentialing application and an online database that contains information necessary for insurance companies to credential a provider. This allows you to submit and maintain your credentialing information at one location rather than filing with many organizations. There is no cost to file an application with CAQH and it can be completed online. Visit the CAQH website »

Download the CAQH submission form »


Texas Dental Credentialing Application

If CAQH is not used, the “Texas Dental Credentialing Application” will be required. Rather than filling out a unique application for each Dental Plan, one newly created application will be required that satisfies the requirements of all Dental Plans.

Download the Texas Dental Credentialing Application »

 

Existing Provider Information

If you are an existing provider and need to update information at your location, please complete the Provider Update Request Form.