Dental Providers

TennCare Children, Adult, and CoverKids Providers:

Prior authorization (treatment plan) submission process during the transition will be the following:

October 31, 2025

• Last day to submit prior authorizations to DentaQuest.
• Last day to submit provider or member complaints to DentaQuest.
• DentaQuest customer service lines deactivate at 5:00 PM CT on Friday, October 31, 2025. A recording will direct providers and members to the Renaissance customer service center.

November 1, 2025

• First day to submit prior authorizations and claims to Renaissance.
• Important: Claims submitted to Renaissance must have a service date of 11/1/2025 or later.
• DentaQuest will deny any claim for services conducted on or after 11/1/2025.
• Providers and members can call the Renaissance’s customer service center at 1-866-864-2526 on 11/3/2025 at 7:00 am CT. (Monday – Friday, 7:00 am CT to 5:00 pm CT)

January 10, 2026

• Last day to appeal DentaQuest denials that occurred before 11/1/2025.

January 31, 2026

• Prior authorizations from DentaQuest expire. Send a new request to Renaissance for any PAs not completed by this date.

February 28, 2026

• Last day to submit claims to DentaQuest for services occurring on or before 10/31/2025.

TennCare ECF and 1915(c) Waiver Providers:

Prior authorization (treatment plan) submission process for ECF and 1915(c) waiver members ONLY during the transition will be the following:

October 15, 2025

• Last day to submit prior authorizations for ECF and 1915(c) waiver members to DentaQuest.
• After 5 pm CT on 10/15/25, the DentaQuest provider portal will only accept emergency prior authorizations requests for ECF and 1915(c) waiver members.

October 31, 2025

• Last day of service eligible for DentaQuest payment.
• Important: DentaQuest will deny any service dated after 10/31/2025. Providers will need to submit claims for payment with dates of services 11/1/25 and after to Renaissance. Authorizations issued by DentaQuest prior to 11/1/2025 will be honored by Renaissance through 1/31/2026.

November 1, 2025

• Renaissance begins as TennCare’s new dental benefits manager, and all new prior authorizations should be submitted to Renaissance.
• Providers and members can call the Renaissance’s customer service center at 1-866-864-2526 on 11/3/2025 at 7:00 am CT. (Monday – Friday, 7:00 am CT to 5:00 pm CT) Renaissance’s prior authorization unit will begin full operation on 11/1/2025. Should a patient need an emergency prior authorization during this gap, submit your prior authorization using the DentaQuest portal with the word “emergency” in the note section/box 35 of the ADA Claim Form.