Medical, Dental & Pharmacy
- Medical
- Ambulatory Surgical Services
- Children's Services
- Chiropractic
- Clinic Services
- Community First Services and Supports (CFSS)
- Early Intensive Development and Behavioral Intervention (EIDBI)
- Equipment and Supplies
- HCBS
- Hearing Services
- Home Care Services
- Hospice Services
- Hospital Services
- Housing Stabilization Services
- Immunizations and Vaccinations
- Laboratory/Pathology, Radiology, and Diagnostic Services
- Language Interpreter Services
- Long-Term Care
- Medication Reconciliation
- Mental Health Services
- Optical Services
- Personal Care Assistance (PCA) Services
- Physician and Professional Services
- Recuperative Care
- Rehabilitation Services
- Renal Dialysis
- Restricted Recipient Program
- School-Based Community Services
- Substance Use Disorder
- Telehealth Services
- Transportation
- Tribal and Federal Indian Health Services
- Dental
- Pharmacy
Dental
All dental providers practicing within the scope of practice for their licensure are eligible to provide services to PrimeWest Health members as long as they are willing to accept PrimeWest Health reimbursement as "payment in full" and agree not to balance bill our members.
For more information on dental services (including when to request a Service Authorization), please review the Covered Services, Non-Covered Services, Billing, and Submitting Dental Service Authorization Requests sections.
PrimeWest Health encourages providers and partners to share information about mobile dental outreach clinics with members.
Dental providers and county partners may also find the following resources helpful.
PrimeWest Health’s dental program
- This Dental Program handout provides information on plan features, benefits, dental grants, and provider collaboration, as well as details on the dental care coordination Service Authorization processes
- The Quick Reference Guide for Dental Providers is a resource for dental billing, claims submission, Service Authorizations, covered services, and Provider Updates
- Our Dental Services Handout offers more information on PrimeWest Health dental services
- Successes in Dental Services demonstrates PrimeWest Health’s success with provider recruitment and engagement
Benefits
The current PrimeWest Health Dental Covered Services chart explains what dental codes are covered.
Oral health education
- PrimeWest Health-developed Dental Resources have helpful dental information for members
- Special Needs BasicCare (SNBC)/Prime Health Complete (HMO SNP) members
- Our dental benefit summary sheet and oral health tip sheet for use with SNBC and Prime Health Complete members. PrimeWest Health also developed a dental care coordination guide for providers and county partners who work with these populations.
- Minnesota Senior Care Plus (MSC+) and PrimeWest Senior Health Complete (HMO SNP)
- Our dental benefit summary sheet and oral health tip sheet for use with MSC+ and PrimeWest Senior Health Complete members. PrimeWest Health also developed a dental care coordination guide for providers and county partners who work with these populations.
- Our handout on treating dental pain includes recommendations about prescribing opioids from the American Dental Association (ADA) and the American Association of Maxillofacial Surgeons (AAOMS)
Kids
- Dental C&TC Standards from the Minnesota Department of Human Services (DHS)
- Our Early Dental Care booklet provides parents of young children with a dental activity book
Ideas for your practice – PrimeWest Health handouts
- Expand Your Practice with Oral Health Services discusses ways to help your practice incorporate oral health services
- Dental Therapy: Overview and Resources provides an overview of this emerging field and contains a link to the Dental Therapy Toolkit developed by the Minnesota Department of Health (MDH) as a resource for employers considering adding dental therapy to their practices
- Trauma-Informed Oral Health Care outlines the importance of having a trauma-informed approach to care at your practice
- Oral Health Care: The Value of Understanding Social Determinants of Health aims to help you and your staff understand the environmental conditions that affect oral health outcomes for the members you serve
Quick Reference Guide for Dental Providers
Use this reference guide as a resource for billing, claims submission, service authorization, covered services, and provider updates.
Additional information
- Recent information about Critical Access Dental Payment from DHS
- Dental Services (Overview) from DHS
- Allied Oral Health Professional (Overview) from DHS
- West Central Early Childhood Initiative's Early Childhood Dental Network (ECDN) includes dates, times, and locations of upcoming mobile dental outreach clinics, as well as oral health educational materials. To learn more about the West Central Initiative’s ECDN, view their informational video.
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Updated_05/15/2025
