Dental Network Maps and Waivers 2024

Please note: Waivers are not required for networks meeting all geographic access requirements.

ADA notice
To obtain this information in a different format, call 651-201-3560 or email health.mcs@state.mn.us

Delta Dental of Minnesota

PPO Plus Premier Maps - MNN001 (PDF)

Dentegra Insurance Company

Dentegra PPO Maps - MNN001 (PDF)

The Guardian Life Insurance Company of America

DentalGuard Preferred Maps - MNN001 (PDF)

DentalGuard Preferred Maps - MNN002 (PDF)

The Minnesota Department of Health reviews provider network waiver requests as part of annual provider network reviews of individual and small employer health plans. Waiver requests are considered approved with the approval of the health plan’s provider network.

See detailed Provider Network Adequacy Instructions (PDF) for further details and instructions.

For more information, email health.managedcare@state.mn.us.