This form was created as a direct result of a dental grant awarded through the Pennsylvania Developmental Disability Council. PCHC partnered with Achieva to help create this form to:
- to help individuals with disabilities, families, Special Needs Units at MCOs and dental offices identify the dentist best able to provide treatment
- to provide necessary information for the dentist to best support each individual
- to help provide Special Needs Units at MCOs with more information when making referrals for members and dentists
- to encourage more community dentists to treat individuals with disabilities
Please view this webinar for more instructions on the use of this form:
https://www.achieva.info/levels-care-what-kind-dentist-do-i-need-0