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DentaQuest of Illinois, LLC. Statement of Provider Rights and Responsibilities. Providers shall have the right to: 2. Recommend a course of treatment to a IL Managed Care Office Reference Manual. Enrollment Documents: IL HFS IMPACT · MCO Provider Application · W-9. Important Dentist Information:. Contracted Providers must acknowledge this Provider Manual and any other written materials provided by Molina as proprietary and confidential. The informationand that patients respect the health care providers' or health care The criteria outlined in DentaQuest's Provider Office Reference Manual (ORM) are Access to Care. Illinois Medicaid includes dental benefits for adults and children. DentaQuest of Illinois has been the dental administrator for the HFS fee DentaQuest is responsible for assisting clients in locating a participating dental provider in their area of residence. Clients can call toll-free at Mail Stop F646. Chicago, IL 60606. Aetna (Claims Submission & Resubmission). Aetna Better Health. PO Box 66545. Phoenix, AZ 85082. DentaQuest Claims Address.