TX Medicaid and CHIP Enrolled Dental Providers SFY2025YTD_final.xlsb

XLSB spreadsheet 7 MB Posted

Attached to
Medicaid and Children’s Health Insurance Program Dental Services
Solicitation number
HHS0017108
Issued by
Texas

About this file

This file is a roster document listing enrolled dental providers participating in Texas Medicaid and the Children's Health Insurance Program (CHIP) as of State Fiscal Year 2025 year-to-date. The document serves as an administrative record maintained by the State of Texas identifying healthcare providers who have completed enrollment requirements and are authorized to deliver dental services to eligible Medicaid and CHIP beneficiaries. The roster contains provider identification information, credentials, and participation status across the state's dental network.

The document functions as a directory supporting Texas Medicaid and CHIP dental service delivery by maintaining current information on provider availability and authorization status. This ongoing roster is updated periodically throughout the fiscal year to reflect provider enrollments, terminations, and status changes. The file supports program administration, beneficiary access to care coordination, and state oversight of the dental provider network serving low-income and pediatric populations in Texas.

Other files

File Type Posted
Exhibit G, Medicaid and CHIP Dental Services Statement Of Work (SOW).pdf PDF
Exhibit Q, Evaluation Tool and Scoring Example.pdf PDF
Exhibit C, Deliverables-Liquidated Damages Matrix.pdf PDF
Exhibit S, TDI Certificate of Authority Table.pdf PDF
Exhibit P, Consensus Scoring Rubric.pdf PDF
Exhibit J, Certification Regarding Lobbying.pdf PDF
Exhibit A, Dental Contract Terms and Conditions.pdf PDF
Medicaid_Dental_Caseload_Cost_by_DentalRptRgn_SFY2018_SFY2027_v.xlsx XLSX spreadsheet
Exhibit H, HHS Solicitation Affirmations v. 2.10.pdf PDF
Exhibit E, Access Standards Map.pdf PDF
VPAT2.5Rev_WCAG_February2025.docx DOCX document
D00010_837D_LTC_Companion_Guide.pdf PDF
Exhibit I, Federal Assurances Non-Construction Programs.pdf PDF
Exhibit K, Exceptions.docx DOCX document
CHIP_T_Dental_Caseload_Cost_by_SDA_SFY2018_SFY2027_v.xlsx XLSX spreadsheet
Exhibit F, Dental Reporting Regions Map.pdf PDF
ESBD_561159_1791405468508_HHS0017108_Dental_Services.pdf PDF
Exhibit M, Subcontracting Plan.pdf PDF
Exhibit B, Uniform Managed Care Manual (UMCM).pdf PDF
Exhibit N, Breach Disclosure History.pdf PDF
Exhibit L, Assumptions.docx DOCX document
CHIP_T_SDA_County_Zip_201709_202411_v.xlsx XLSX spreadsheet
Exhibit O, Medicaid and Children's Health Insurance Program (CHIP) Dental Services Scoring Guides.pdf PDF
Exhibit R, Procurement Library.pdf PDF
Medicaid_Dental_DentalReportingRegion_County_Zip_201709_202411_v.xlsx XLSX spreadsheet
Exhibit D, Texas Medicaid Provider Procedures Manual.pdf PDF
D00022_837D_Acute_Care_Companion_Guide.pdf PDF
Show all 27

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