Secure Email
Grievance Forms
Language Translation
Login
Member
Group
Dental Office
Office Vendor
Login
Member
Group
Dental Office
Office Vendor
Members
Welcome to Member Services!
Find a Dentist
Community Smiles Program
Member COVID-19 Resources
Group & Plan Partner Sites
LIBERTY Dental Plan Language Needs Survey
Oral Health & Wellness Tips
FAQs
File a Grievance or Appeal
Forms & Literature
Medi-Cal
Member - Contact Us
Providers
Providers
Disclosure of Ownership & Control Interest Form Requirements
Contract With Us
Join Our Network
Provider Portal Registration
Value-Based Program (VBP)
Secure Email Portal
Provider Resource Library
Directory Information Validation (DIV)
Provider TeleDentistry Resources
Provider COVID-19 Resources
Clinical Criteria Guidelines & Practice Parameters
Provider Compliance Training
Florida Medicaid Webinar
Americans with Disabilities Act (ADA) Survey
Frequently Asked Questions
Secured Documents
Self Service Tools
Provider Newsletters
Providers - Contact Us
Brokers
Welcome
Request a Quote
California Application
Missouri Application
Nevada Application
All Other States
Agents & Brokers - Contact Us
Programs
Medicaid
Medi-Cal
Medicare Advantage
Commercial
Individual & Family Plans
Request a Quote
State Sites
California
Florida
Hawaii
Illinois
Missouri
Nevada
New Jersey
New York
Oklahoma
Texas
All Other States
Find a Dentist
About LIBERTY
About LIBERTY
Careers
Compliance
Leadership
News & Events
Privacy
Contact Us
LA Care
LA Care Home
Oral Health Risk Assessment
LA Care Home
Oral Health Risk Assessment
LA Care Home
Oral Health Risk Assessment
First Name
Required
Last Name
Required
Address (line 1)
Address (line 2)
City
State
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip Code
Please ensure your entry is valid.
Phone
Required
Email Address
Required
Please ensure your entry is valid.
Comments
Please only click Submit once
Submission Success
×