LIBERTY is uniquely suited to work directly with
the State of Connecticut because of its understanding and experience
with the underserved Medicaid population as a CA State Licensed
Specialized Dental Plan. Specializing in administering prepaid
dental government programs, LIBERTY currently contracts directly with
state and local governments serving as their dental service contractor
for their eligible beneficiaries. LIBERTY’s current direct
contracting arrangement with the Department of Health Care Services in
California and the Counties of San Francisco and Santa Clara require
LIBERTY to meet performance standards in the forms of guarantees or be
subject to capitation withholds.
LIBERTY’s expertise includes:
- Outreaching to beneficiaries, pursuant to state
guidelines and providing culturally appropriate services such as
translation and transportation services;
- Maintaining a sufficient network in size, scope
and breadth of qualified dental providers to guarantee an appropriate
level of access, consistent and timely appointments and credentialing
assistance;
- Managing financial risk using sound actuarial
principals and A priori and de facto provider
compensation arrangements;
- Meeting government compliance standards in key
areas of dental program performance and data reporting standards;
LIBERTY Dental is willing to meet certain
performance targets as a proxy for payment such as:
- Dental service access standards
- Network size and location requirements
- Member and provider satisfaction expectations
- Timely and accurate reporting requirements
- Administrative service standards (timely claims payments,
explanations or denials, and electronic access to LIBERTY’s systems.)