The following providers are excluded from the Dental Provider Incentive Program (DPIP):
- Non-Participating providers – Dental providers without a contractual arrangement with the plan to offer DPIP-Included Services.
- Federally Qualified Health Centers (FQHCs) – Services provided in an FQHC, regardless of whether or not the service is billed by the FQHC as an FQHC service or by the rendering dental provider using their own Medicaid ID.
- Rural Health Clinics (RHCs) – Services provided in an RHC, regardless of whether or not the service is billed by the RHC as an RHC service or by the rendering dental provider using their own Medicaid ID.
- County Health Departments (CHDs) – Services provided in a CHD, regardless of whether or not the service is billed by the CHD as a CHD service or by the rendering dental provider using their own Medicaid ID.
- Faculty Plans of Florida Dental School Faculty Physician Groups – Services provided in this plan may not be included in the DPIP, regardless of whether or not the service is billed by the Dental School Faculty Physician Group as a plan service or by the rendering dental provider using their own Medicaid ID.
For a comprehensive summary of the DPIP, please review the Agency’s DPIP Webpage: https://ahca.myflorida.com/medicaid/statewide-medicaid-managed-care/current-smmc-program/dental-provider-incentive-program
