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Oral Health Program: Workforce

The Oral Health Program (OHP) is committed to supporting Wisconsin's oral health workforce for the benefit of all people of Wisconsin so that everyone is living their best life.

This is accomplished through policy development, technical assistance, needs assessment, training, education, and through the planning, implementation, and evaluation of preventive oral health programs.

The majority of Wisconsin's oral health workforce is made up of dentists and dental hygienists. 

The State of Wisconsin Department of Safety and Professional Services (DSPS) – Dentistry and Dental Hygiene webpage links to the Wisconsin Administrative Code on the practice of dentistry and dental hygiene.

Dental assistants are important!

Become a Dental Assistant, P-03365, explains this career choice, why it's important and how to get started.

 

Must be licensed

DSPS Dental Hygienist page explains the requirements and fees associated with obtaining or renewing your license in Wisconsin.

Practice settings, supervision, and limitations
  • Traditional dental practice
    • Dental hygienist is employed
    • Dentist supervision
  • Practice settings as defined in 2017 Wis. Admin. Code Act 20
    • Dental hygienist can provide oral health care services
      • In certain settings
      • Without dentist oversight
      • Can be hygienist-owned or mobile practice
      • Increase care for underserved populations
        • Special health care needs populations
        • Rural communities
        • Home bound or unable to travel
          • Nursing homes
          • Medical facilities
            • Clinic or hospital, for example:
              • Diabetic or cardiac patients
              • Pregnant moms and pediatric patients
    • Dental hygienist can perform
      • Educational dental services
      • Preventative dental services
      • Therapeutic dental services
    • Limitations as defined in Wis Stat.§ 447.01(3)(a-g)
Professional organization support

The Wisconsin Dental Hygienists’ Association (WI-DHA) is the largest organization in the state dedicated to representing dental hygienists at the state and national level.

  • WI-DHA is a constituent of the American Dental Hygienists’ Association (ADHA).
  • WI-DHA and ADHA serve to help dental hygienists achieve their full potential as they seek to improve the public’s oral health.
Dental hygienist career opportunities

The Wisconsin Oral Health Program partnered with dental hygienists on a webinar series offering a glimpse into career opportunities available to licensed dental hygienists in Wisconsin. Each hygienist shares their unique story. You will know what inspires them, understand their passion for their work and the patients they serve, and learn helpful information for anyone interested in a career in similar practice settings.  

  • Dental Hygiene in Wisconsin (DHS) is the best place to start if you are exploring dental career options or have a dental hygiene license from another state and want to practice in Wisconsin. Learn about education, Wisconsin licensing, scope of practice, supervision, compensation and more.
  • Dental Hygiene in Wisconsin: Local Health Department (DHS) provides an opportunity to understand public health hygienists and their varying roles. Public health hygienists may interact with patients in a school, senior center, or other community location. They help patients get dental care and may even learn expanded skills like teaching CPR, planning for emergencies, and responding to the community’s unique needs.
  • Hygienists in Medical Dental Integration (DHS) reminds us that oral health is part of overall health. Not all patients see a dentist first. What happens when patients arrive for a medical visit with dental problems? Hygienists in medical settings often educate pregnant moms, see children during well child visits, and consult with urgent care doctors on dental-related concerns. Having a dental hygienist in the medical office can streamline care, help reduce emergency department visits related to tooth or mouth pain, and impact overall health outcomes.
  • Oh, Get a Job, Already! What is dental hygiene? (DHS) Direct access dental hygienist, JenJen Reed, shares how mentors helped spark and encourage her dream career. As a first-generation Asian American she faced many barriers. By allowing her passion to lead, she became the first of her generation to start her own hygiene business serving medically compromised adults in Wisconsin nursing homes.
  • Wi RDH: School-Based Setting (DHS) teaches the value of dental hygienists in school-based settings. Many children have trouble accessing dental care but, bringing dental services into schools can help. Since all programs differ, networking with others in your community is key to strengthening each one and helping more children. Learn tips for getting started, realistic timelines, and best practices. You will also learn to understand unique considerations for business ownership.
  • Wisconsin Dental Hygienist in a Federally Qualified Healthcare Center (DHS) offers insight into an amazing life and career journey as it overlaps to cross oceans, removes language and cultural barriers, and finds solid footing as part of a comprehensive team addressing a variety of healthcare needs for patients. Learn that opportunities for dental hygienists seem endless. They can work in a dental office, mobile dentistry program, be a language translator or even help a single mom receive life-saving cancer treatment. Sometimes, it is all part of an overlapping journey that fills one’s heart to overflowing.

 

 

Must be registered

DSPS Dentist page explains the requirements and fees associated with obtaining or renewing your credential in Wisconsin.

Practice settings

Dentists can own, be employed, and volunteer services at:

  • Dental office practices
  • Educational institutions
  • Government settings
  • Health care settings
  • Safety net clinics
Vaccine administration and limitations
  • 2021 Wis. Admin. Code Act 8 says dentists are allowed to administer vaccines
    • SARS-CoV-2 coronavirus
    • Influenza
  • Limitations as defined in Wis. Stat. § 447.059(1-4)
    • Complete approved training
    • Maintain additional liability insurance
    • Adhere to vaccine specific requirements
      • Record keeping
      • Reporting
Professional organization support

The Wisconsin Dental Association (WDA) is the leading voice for dentistry in Wisconsin.

  • WDA is affiliated with the American Dental Association (ADA).
  • American Dental Association (ADA) is the largest and oldest national dental association in the world.

Dental hygienists and dentists can help
  • 2 out of 3 people enrolled in Medicaid or BadgerCare Plus did not see a dentist in 2019. This includes families that live and work in the community you serve.
  • Enroll as a provider for Medicaid or BadgerCare Plus and provide dental care to people in need at your office or in various settings.
  • Helping low-resource communities with access to dental care can increase overall wellness in the community.

Did you know?

  • Enrolling is easier than you might think.
  • You can see patients at your office or help them where they are. For example, be a provider at a nursing home, a charitable organization, or a nonprofit home healthcare agency.
  • You can start small. Start with a few families or patients at a time.
  • You can use the Forward Health Portal to submit prior authorizations, bill Medicaid and BadgerCare Plus, and manage your Medicaid and BadgerCare Plus provider portal.
  • January 2022 began the Medicaid and BadgerCare Plus rate increase. You can get paid by direct deposit and many services have online approval.
Medicaid enrollment process

Complete the following steps to become a Medicaid and/or BadgerCare Plus Provider in Wisconsin.

  1. Get National Provider Identification Number (NPI) Apply for NPI on the National Plan & Provider Enumeration System (NPPES) website. You will receive a confirmation email with your NPI, usually in minutes.
  2. Enroll in Medicaid with a few short steps.
    • Know your NPI.
    • Gather your records of education, training, and experience.
    • Know your provider type and specialty taxonomy code.
    • Complete the online application and allow 60 days for your Notice of Decision letter to arrive in the mail. The letter contains your Login ID and PIN information.
    • Take note of the Automatic Tracking Number (ATN) that generates when you submit your application. You can use the ATN to track your application.
  3. Request ForwardHealth Portal access. Set up an account using the Login ID and PIN provided in your Notice of Decision letter.

Medicaid and BadgerCare Plus revalidation

Once enrolled, providers are required to revalidate their enrollment information every three years to continue their participation with Wisconsin Medicaid.


Medicaid and BadgerCare Plus billing process

Below are several options for submitting dental billing claims:

Avoid the most common billing errors
  1. Electronic Claims Submission is preferred and allows flexible submission methods.
  2. Log in to the ForwardHealth Portal and click on the Claims tab at the top of the page. Click Submit Dental Claim.
    • Fill in the Dental Claim Panel
    • Fill in the Detail and Surfaces panels with dental procedure information.
    • Attach any applicable documents.
    • Double check and submit your claim.
    • Helpful tip: Claims can be copied and updated to expedite the billing process.
  3. Paper Claims Submission must use ADA 2006 or ADA 2012 claim form.

Dental Provider Handbook
  • Dental Hygienist Allowable Services is a concise list of billing codes for dental hygienists.
  • Section on Codes contains comprehensive list of all billing codes for dentists.
ForwardHealth Provider Portal Dental Claims User Guide, P-00970b

This is an excellent guide for all of your billing questions.

ForwardHealth Max Fee Home

Learn about the Wisconsin BadgerCare Plus Maximum Allowable Fee Schedule.

Resources

  • Mobile Dentistry in Wisconsin (DHS training- .5 CE) At the conclusion of the webinar, participants will be able to define mobile dentistry per DE 10, identify who must register for a mobile license in Wisconsin and learn how to register, and understand the requirements and rules governing mobile dentistry in Wisconsin.
  • Mobile Dentistry registration – requirements and application for a Wisconsin Mobile Dentistry Program registration.

Oral Health Program Resource Center (DHS) – oral health-related resources on a variety of topic areas and sorted for the general public or health care professionals.

    Dental radiography
    Department of Safety and Professional Services
    • Dental hygienist License – requirements and application for a Wisconsin Dental Hygienist license.
    • Dentist license – requirements and application for a Wisconsin Dentist license.
    • Dentistry and dental hygiene – Wis. Admin. Code on the practice of dentistry and dental hygiene.
    • File a complaint – methods, process and alternatives to filing a complaint against a professional license.
    • Mobile dentistry – requirements and application for a Wisconsin Mobile Dentistry Program registration.

    Not finding what you need? Reach out to the Oral Health Program.
    Contact us and sign up for Oral Health Program updates

    Last revised January 17, 2023