members covered under all dental plans administered or insured ● members covered under all DHMO plans administered or insured ● claim dollars paid under dental plans administered or insured in the ● State of Maryland Total claim dollars paid under DHMO plans administered or insured in ● the State of Maryland Total members covered under all dental plans administered or insured in ● the State of Maryland Total members covered under all DHMO plans administered or insured ● in the State of Maryland Q-7 On average, by what percentage have premiums for the DHMO plan proposed increased over the last three years? Q-8 For your proposed network for the State of Maryland, what percentage of participating providers in your proposed network were not accepting new patients during the following calendar years? Calendar Year 2011 General/Family dentists ● Orthodontists ● Pedodontist ● Periodontist ● Oral Surgeon ● Endodontist ● Calendar Year 2012 General/Family dentists ● Orthodontists ● Pedodontist ● Periodontist ● Oral Surgeon ● Endodontist ● Q-9 Can members nominate non-participating dentists? Q-10 Does your provider directory (both on-line and hardcopy) indicate the following information for each network provider? Handicap accessible ● Multi-lingual ● Distance from member location ● If accepting new patients ● Specialty ● Q-11 Are you anticipating any material changes (+/- 5%) in network size (for either general/family dentists or specialists) in the network area serving of Maryland employees and retirees during the next 12 months? NETWORK MANAGEMENT Q-12 Who conducts the provider credentialing process? Please indicate the qualifications of the person(s) or organization(s) responsible for conducting this review. Q-13 Are onsite visits conducted during the credentialing process? Q-14 How are Specialty dentists re-credentialed? How Q-15 Do you conduct provider satisfaction surveys?
● members covered under all dental plans administered or insured ● members covered under all DHMO plans administered or insured ● claim dollars paid under dental plans administered or insured in the State of Maryland ● Total claim dollars paid under DHMO plans administered or insured in the State of Maryland ● Total members covered under all dental plans administered or insured in the State of Maryland ● Total members covered under all DHMO plans administered or insured in the State of Maryland Q-7 On average, by what percentage have premiums for the DHMO plan proposed increased over the last three years? Q-8 For your proposed network for the State of Maryland, what percentage of participating providers in your proposed network were not accepting new patients during the following calendar years? Calendar Year 2011 ● General/Family dentists ● Orthodontists ● Pedodontist ● Periodontist ● Oral Surgeon ● Endodontist Calendar Year 2012 ● General/Family dentists ● Orthodontists ● Pedodontist ● Periodontist ● Oral Surgeon ● Endodontist Q-9 Can members nominate non-participating dentists? Q-10 Does your provider directory (both on-line and hardcopy) indicate the following information for each network provider? ● Handicap accessible ● Multi-lingual ● Distance from member location ● If accepting new patients ● Specialty Q-11 Are you anticipating any material changes (+/- 5%) in network size (for either general/family dentists or specialists) in the network area serving of Maryland employees and retirees during the next 12 months? NETWORK MANAGEMENT Q-12 Who conducts the provider credentialing process? Please indicate the qualifications of the person(s) or organization(s) responsible for conducting this review. Q-13 Are onsite visits conducted during the credentialing process? Q-14 How are Specialty dentists re-credentialed? How Q-15 Do you conduct provider satisfaction surveys?
DentalPlanAttachmentT-DHMOform.docx