Virginia Regulatory Town Hall
Agency
Department of Medical Assistance Services
 
Board
Board of Medical Assistance Services
 
chapter
Waivered Services [12 VAC 30 ‑ 120]
Action Three Waivers (ID, DD, DS) Redesign
Stage Proposed
Comment Period Ended on 4/5/2019
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4/4/19  10:51 am
Commenter: Anonymous, Self-Advocate

Problems with fiscal agent, DentaQuest, etc
 

In Jan i got the FIS Waiver and my DSS failed to put in my medicaid renewal correctly resulting in my attendants not getting paid for three months. As type this, they still have not been paid.

With the switch to FIS Waiver also came a fiscal agent switch to CDCN. CDCN lost background checks, online timesheet glitches, ETC.

________

DentaQuest problems:

My letter I mailed to DentaQuest:

To whom it may concern,

    I writing to place a complaint with DentaQuest. I've had an extremely difficult time getting my teeth cleaned under the adult dental coverage plan. I understand two cleanings a year are covered under my MCO, which is Healthkeepers Plus.

Each of the offices listed below were referred by DentaQuest / Healthkeepers Plus.

February 5, 2018 - Julie Ball (757) 427-1600 1515 Lynnhaven Pkwy, Virginia Beach
My partner of 21 years took a day off from work to take me to the dental appointment because I cannot drive. When going into the office, there are two visible steps inside. I use a heavy power chair; steps create a barrier. Why is an inaccessible dental office listed on DentaQuest?
Result: Did not get my teeth cleaned.

September 21, 2018 - Debra A Davis (757) 464-0723 4600 Westgrove Ct, Virginia Beach
This dentist cleaned my teeth on March 26, 2018. For my next scheduled cleaning, I called the office and discovered they did not accept my MCO as they did previously.
Result: Did not get my teeth cleaned.

February 15, 2019 - Kool Smiles (757) 769-8911 4239 Holland Road, Virginia Beach
I went to their office and filled out the paperwork only to find out they wanted me to pay $110 for a cleaning. They informed me that they only accept PPOs, not MCOs or HMOs.
Result: Did not get my teeth cleaned.

I would like to see the dental provider list updated regularly with accurate information on ADA compliant offices to prevent this from happening again to me or anyone else.

CommentID: 70885