07/26/2013

Treating children on Medi-Cal without program ID card


The California Medi-Cal Dental Program (Denti-Cal) is informing dentists across the state that it is OK to provide dental services to children on Medi-Cal, including foster children, if they come to their office without a BIC (Medi-Cal) card.

In a notice recently sent out in the Denti-Cal Bulletin newsletter, the state's Department of Health Care Services clarifies that in accordance with the California Medi-Cal Dental Program Provider Handbook, no identification verification is required in certain circumstances.

Identification verification is not required when:

  • The beneficiary is 17 years of age or younger;
  • The beneficiary is receiving emergency services;
  • The beneficiary is a resident in a long-term care facility.

According to the Bulletin, “if the beneficiary does not bring a BIC to an appointment as described above, providers may access the Medi-Cal Automated Eligibility Verification System (AEVS), the Point of Service (POS) device, or the Medi-Cal website, and may, with the beneficiary’s approval, use the beneficiary’s Social Security Number (SSN) to verify eligibility.”

For more information on verifying beneficiary identification and Denti-Cal beneficiary eligibility, refer to the Provider Handbook on denti-cal.ca.gov or call 800.423.0507.