In order to ensure our members receive quality care, appropriate claims payment, and notification of servicing providers, please complete this form in its entirety. Please type or print in black ink and submit this request to the fax number below.
On April 1, 2019, Missouri Care will transition to LIBERTY Dental Plan for all of your dental services. Your dental benefits will not change with the switch to LIBERTY Dental. If you have any questions, contact Missouri Care Member Services at 1-800-322-6027.×