Dental

How to Get Credentialed with Liberty Dental Plan in Mississippi

Network: Open
30-60 Days

Quick Overview

Timeline

30 - 60 days

CAQH

Not Required

Re-credentialing

Every 3 year(s)

Delegated

No

Mississippi-Specific Requirements

Liberty Dental Plan: Medicaid managed dental and commercial dental networks. Liberty Dental Plan does not currently administer Medicaid dental benefits in this state. Commercial dental plan participation may be available. Apply via Liberty Dental provider portal (libertydentalplan.com/providers). Uses CAQH ProView. Processing typically 30-45 days. State licensing: Mississippi State Board of Dental Examiners issues DDS/DMD licenses. Dental hygienists (RDH) may credential separately. State note: Accepts CDCA or ADEX clinical exam. Requires jurisprudence exam and CPR certification. Operates Medicaid dental managed care in CA, FL, IL, NJ, NV, and TX. Also offers commercial and marketplace dental plans. Providers must be enrolled in state Medicaid first for Medicaid lines of business. Known for rapid credentialing turnaround.

Step-by-Step Enrollment Process

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Mississippi.

2

Prepare Your Application

Complete Liberty Dental Plan's provider enrollment application with all required information and supporting documentation.

3

Submit Your Application

Submit your completed enrollment package to Liberty Dental Plan.

4

Track & Follow Up

Credentialing typically takes 30-60 days. Monitor your application status and respond promptly to requests for additional information.

Free Consultation

Need help enrolling with Liberty Dental Plan?

Our specialists handle the entire Liberty Dental Plan enrollment process: applications, follow-ups, and approvals in Mississippi.

Required Documents Checklist

CV/Resume

Work history and education

DEA License

Conditional

Required if performing sedation or prescribing controlled substances

Malpractice Insurance

Current malpractice insurance certificate

Medical License

Active dental license required

NPI Certificate

Active NPI number required

Enrollment Forms

Liberty Dental Provider Application

Provider application to join the Liberty Dental Plan network for Medicaid and commercial programs.

Required
Online Open →

Key Credentialing Terms

CAQH
The Council for Affordable Quality Health Care, an organization that maintains a universal provider database (CAQH ProVi...
Credentialing
The process of verifying a healthcare provider's qualifications, training, licensure, and professional background to ens...
Effective Date
The date on which a provider's enrollment or network participation becomes active, allowing them to begin billing a paye...
Fee Schedule
A complete listing of fees and reimbursement rates that an insurance payer will pay for specific medical services and pr...
Network Status
A provider's participation status with a specific insurance payer, indicating whether they are in-network (contracted) o...
NPI
The National Provider Identifier is a unique 10-digit identification number issued by CMS to healthcare providers, requi...
Participating Provider
A healthcare provider who has signed a contract with an insurance payer to provide services to the plan's members at neg...
Primary Source Verification
The process of verifying a provider's credentials directly from the original issuing source, such as medical schools, li...

Credentialing Checklist

Make sure you have everything ready before applying to Liberty Dental Plan.

View Dentist Credentialing Checklist →

Contact Information

Provider Credentialing

National

1-888-703-6999

Mon-Fri 8am-5pm

Provider Services

National

1-888-703-6999

Claims & Billing

National

1-888-703-6999

Need Help?

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Reviewed by the PayerReady Credentialing Team

Our credentialing specialists verify every article against current CMS regulations, NCQA standards, and payer-specific enrollment requirements. See our editorial process.

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