To refer your patients 0-5 on Medi-Cal Managed Care for dental care coordination, please complete and submit the following Dental Care Coordination form. Downloadable hereor in the Resources page under the "Care Coordination Materials" section. Please mail the completed forms to: SF DTI Dental Care Coordination at 30 Van Ness Avenue, Suite 210, San Francisco, CA 94102 or fax to: (415) 581-2327 within 5 business days of service.
All children ages 0-5 years old (up to 6th birthday) with Medi-Cal are eligible to receive dental care coordination either through the DTI project or through the San Francisco CHDP Program.
If you have questions about your patient's eligibility to receive dental care coordination, please feel free to contact us for more details.
San Francisco Dental Transformation Initiative Local Dental Pilot Project 30 Van Ness Avenue, Suite 260B San Francisco, CA 94102