TRANSMITTAL LETTER DEN-59 2026

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  1. Click ‘Get Form’ to open TRANSMITTAL LETTER DEN-59 in the editor.
  2. Begin by reviewing the introduction section, which outlines the changes to the MassHealth dental program. Familiarize yourself with the effective date and key updates.
  3. Fill in the 'TO' field with the names of dental providers participating in MassHealth, ensuring accuracy for proper communication.
  4. In the 'FROM' section, enter your name and title as the sender, along with any relevant contact information.
  5. Review each section carefully, especially those detailing covered services for members aged 21 and older. Make notes on any prior authorization requirements that may apply.
  6. Utilize our platform's annotation tools to highlight important sections or add comments for clarity as you complete each part of the form.
  7. Once all fields are filled out, save your document and utilize our signing feature if necessary before distributing it to relevant parties.

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Occlusal guards and mouthguards for sports may both provide protection for the teeth but do not have the same designs or functions. Mouthguards for sports protect the teeth from avulsion during impacts. However, occlusal guards protect the surfaces of teeth from grinding against each other at night.
The MassHealth agency pays for occlusal guards only for members younger than 21 years old and only once per calendar year. The MassHealth agency pays for only custom-fitted laboratory-processed occlusal guards designed to minimize the effects of bruxism (grinding) and other occlusal factors.
A letter of transmittal is a short cover letter that accompanies a more complex document to explain its purpose. This letter clarifies the intent of the document or report so that recipients understand what they are reading and why it was sent to them.
Dental care includes comprehensive services, including dental checkups, preventive services, cleanings, fluoride treatments and dental sealants, as well as pain relief, treatment of infections, fillings, crowns, and root canal treatment.
Occlusal guards can cost anywhere from $20 to $1,000, depending on which type you need and from where you purchase your night guard. Thinner guards with less material from the drug store will cost less than custom-fitted thick appliances you order from a dental office.

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