What Dental Services Are Covered By Medicaid

Upcoming Changes to Dental Services in Florida Medicaid

In 2016, the Florida Legislature directed the Agency for Health Care Administration (Bureau) to enroll well-nigh Medicaid recipients into dental plans.
Recipients will receive a dental plan based on the below schedule. The schedule is separated into phases by the recipient's canton location.

Recipients will begin to receive messages before long. They volition be mailed out about 45 days before each phase starts. For instance, recipients volition begin to receive letters for Stage 1 in the center of October. For more than information, please click on the following link:  http://ahca.myflorida.com/Medicaid/statewide_mc/pdf/mma/Dental_Overview_Final_081518.pdf

Dental Intendance: Why It's Important

It is important for babies, children, and adults to see a dentist at to the lowest degree twice a year. The earlier children see a dentist, the healthier their gums and teeth will stay for their whole life. Children should begin seeing a dentist by age 1, even if they practise not have teeth still.

Problems with teeth and gums can be avoided past seeing a dentist early in life and on a regular footing. Brushing, flossing and avoiding sugary foods and drinks tin aid with healthy teeth and gums.

If a tooth trouble does occur, information technology can have serious effects on your overall health. Tooth problems tin can also cause problems similar not being able to seize with teeth and chew food, problems in school, or missing school because of pain. As well, unhealthy teeth tin cause problems with speaking.

Dental Treat Children Ages 0-20: What Florida Medicaid Covers

Florida Medicaid wants to make children are good for you. Below is a list of services that will help children take healthy teeth at no cost:

• Dental Exams
• Dental Screenings
• Dental Ten-rays
• Teeth Cleanings
• Fluoride
• Sealants
• Oral Health Instructions
• Space Maintainers

• Fillings and Crowns
• Root Canals
• Periodontics
• Prosthodontics
• Orthodontics
• Extractions
• Sedation
• Ambulatory Surgical Center or Infirmary-based Dental Services

Some Services may require permission from a dental programme earlier the dentist performs the service. This is called a prior potency. Services must be medically necessary in order for dental plans to pay for them. For more than details about dental services, contact the recipient's dental plan starting December i, 2018.

Dental Treat Adults Ages 21 and Up: What Florida Medicaid Covers

Office of beingness healthy includes oral health care. Below is a list of emergency-based dental services covered by the dental plans starting December 1, 2018:

• Dental Exams (express)
• Dental 10-rays (limited)
• Dentures
• Extractions (removal of teeth)

• Sedation (dental services while comatose or partly comatose)
• Problem focused
• Hurting management

Some Services may crave permission from a dental program before the dentist performs the service. This is called a prior potency. Services must be medically necessary in order for dental plans to pay for them. For more details nigh dental services, contact the recipient's dental programme starting December one, 2018.

If a recipient is 21 or older, they may be eligible to receive boosted dental services. For significant women that are 21 years and older, more than services may be bachelor to aid with a healthy pregnancy. The below dental services are expanded benefits starting December i, 2018. These are extra appurtenances or services the dental plans provide to developed and pregnant adult recipients, free of charge:

• Additional dental exams
• Dental screenings
• Additional dental X-rays
• Teeth Cleanings (bones and deep)
• Fluoride Sealants
• Oral Health Instructions

• Fillings (silver and white)
• Additional extractions
• Dental consultations
• Dental function diabetic testing
• A visit to the dental part to become comfortable with the part and the dentist before dental work is washed for persons with disabilities

Who pays for Florida Medicaid Dental Services?

Florida Medicaid dental plans pay for dental services. All dental services are provided through a dental program starting Dec one, 2018. To observe a dental plan, use a computer and go to www.flmedicaidmanagedcare.com or call i-877-711-3662 to talk to a Florida Medicaid Choice Counselor.

Find a Florida Medicaid Dentist

Florida Medicaid dental plans will aid children and adults find a dentist and a dental home. Telephone call a dental plan for assist starting December 1, 2018.

Each dental program's Member Services Department tin can answer questions. Dental plans volition help to choose or change dentists, detect out if a service is covered, get referrals, discover a provider, supersede a lost ID menu, and explain any changes that might affect dental benefits.

If a recipient does not know which Medicaid dental programme they accept, that'south okay. Use a computer and go to www.flmedicaidmanagedcare.com or telephone call 1-877-711-3662 to talk to a Pick Counselor. Call the dental plan for help finding a dentist.

Transportation to the Dentist

Your Medicaid health plan provides transportation to a dentist engagement, if needed. Ask your health program for assist if y'all demand a ride.

Have a Problem?

Your oral health is important and nosotros are committed to ensuring that you lot receive loftier quality intendance. If yous accept any bug, such as getting a ride to the dentist, scheduling an engagement or receiving prior say-so for a service, please contact the Florida Statewide Medicaid Managed Care Program Complaint Center if you lot demand assistance filing your complaint or wish to tell a person, please call toll gratis ane-877-254-1055; Telecommunication device for the deaf (TDD) i-866-467-4970 to speak to a Medicaid representative.

Source: https://ahca.myflorida.com/medicaid/Policy_and_Quality/Quality/clinical_quality_initiatives/oral_health/index.shtml

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