Healthy Smiles Ontario

Changes to dental programs in Ontario

On January 1, 2016, the following six publicly funded dental programs were combined into the new Healthy Smiles Ontario program:

• dental benefits for children under Ontario Works
• dental benefits for children under the Ontario Disability Support Program
• dental benefits for children under the Assistance for Children with Severe Disabilities program
• the Children In Need Of Treatment program
• the Healthy Smiles Ontario program
• preventive oral health services provided by local public health units

Children and youth currently receiving care from the programs listed above were automatically transitioned into the new Healthy Smiles Ontario program.

Additional information, including how to apply or re-apply to the new Healthy Smiles Ontario Program is available at ontario.ca/healthysmiles.

AccertaClaim Servicorp Inc. (Accerta) is now the Program Administrator, and claims may be mailed, sent via secure fax, or submitted electronically (EDI) to Accerta beginning on January 1, 2016:

AccertaClaim Servicorp Inc.
Healthy Smiles Ontario Contact Centre
Station P, P.O. Box 2286
Toronto, ON
M5S 3J8
Secure Fax: 416-354-2354 or toll-free at 1-877-258-3392
Accerta Carrier Code: 311140

Information For Professionals

Healthy Smiles Ontario is a free dental program that includes regular check-ups, preventive care, and treatment for children and youth 17 and under.

NOTE: The Healthy Smiles Ontario Schedule of Dental Services and Fees and Operational Guide for Dental Providers have been revised effective January 1, 2019. Please read the notice below for more information.

• January 2019 Amendments to Schedule of Dental Services and Fees [PDF]
• Dentist Providers [PDF]
• Non-Dentist Providers [PDF]

For information on the Healthy Smiles Ontario income eligibility criteria, visit: ontario.ca/healthysmiles

Further operational guidance for participating dental providers is included in the Healthy Smiles Ontario Operational Guide for Dental Providers.

• Operational Guide for Dental Providers [PDF]

Forms for Dental Providers:

For private dental providers:

• Emergency and Essential Services Stream (EESS) Form [PDF]

Please note: dental providers can assess clients and help them to enrol in the EESS stream of the program or they can refer these clients to the Public Health Unit for help to access the EESS stream - in non-emergency situations and/or during regular business hours.
For public health units:

• Emergency and Essential Services Stream Notification and Enrollment Form [PDF]
• Preventive Services Parent Notification and Enrollment Form (PNF) [PDF]

Multilingual Factsheets

Amharic | Arabic | Chinese (Traditional) | English | Farsi | Français| Italian | Oji-Cree

Portuguese | Punjabi | Russian | Somalian | Spanish | Tagalog | Tamil | Ukranian | Urdu | Vietnamese

For More Information

Claims under Healthy Smiles Ontario may be mailed, sent via secure fax, or submitted electronically (EDI) to Accerta beginning on January 1^st, 2016:

AccertaClaim Servicorp Inc.
Healthy Smiles Ontario Contact Centre
Station P, P.O. Box 2286
Toronto, ON
M5S 3J8
Secure Fax: 416-354-2354 or toll-free at 1-877-258-3392
Accerta Carrier Code: 311140

For more information on claims, pre-authorizations and payment, please contact Accerta toll-free at 416-363-3377 / 1-877-258-2658 or visit the secure web portal AccertaWorX.

To find out more about Healthy Smiles Ontario, please visit: ontario.ca/healthysmiles or contact any local Public Health Unit. For other questions, clients can call the ServiceOntario INFOline:

Toll-free: 1-844-296-6306
TTY toll-free: 1-800-387-5559
TTY Toronto only: 416-327-4282

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