Dental Office Application With Medicaid In Maryland
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State:
Multi-State
Control #:
US-00413-1
Format:
Word;
Rich Text
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Description
This form is an Employment Application. The form provides that applications are considered without regard to race, color, religion, or veteran status.
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The Maryland Healthy Smiles Dental Program (MHSDP) provides dental care to eligible Medicaid members. Medicaid covers a wide range of dental services.Complete the Medicaid provider application. Maryland Healthy Smiles Dental Program provides dental services to eligible adults aged 21 to 64 who receive full Medicaid Benefits. Please fill out the form below if you are requesting a dental appointment.