Braces
Who is Eligible? Individuals younger than age 21
How often? Braces are covered in extreme cases with prior authorization by the State.
Info: No additional information.
Copay: $0
Checkups and Cleanings
Who is Eligible? All Medicaid beneficiaries
How often? Every 180 days (6 months) for individuals younger than age 21; every 365 days (12 months) for individuals age 21 and older.
Info: There may be a copayment for dental services of $3 per visit for individuals age 21 and older.
Copay: $3 (individuals age 21 and older); $0 (individuals under age 21)
Dentures
Who is Eligible? All Medicaid beneficiaries
How often? Dentures may be replaced based upon medical necessity; dentures and partial plates must be prior authorized by the State.
Info: There may be a copayment for dental services of $3 per visit for non-pregnant individuals age 21 and older who are not residing in a nursing facility or intermediate care facility for individuals with intellectual developmental disabilities.
Copay: $3
Fillings, Extractions, and Crowns
Who is Eligible? All Medicaid beneficiaries
How often? Based upon medical necessity; may require prior authorization by the State.
Info: There may be a copayment for dental services of $3 per visit for non-pregnant individuals age 21 and older who are not residing in a nursing facility or intermediate care facility.
Copay: $3
Medical & Surgical Dental Services
Who is eligible? All Medicaid beneficiaries
How often? Based upon medical necessity.
Info: No additional information
Copay:
Root Canals
Who is Eligible? All Medicaid beneficiaries
How often? Based upon medical necessity.
Info: There may be a copayment for dental services of $3 per visit for non-pregnant individuals age 21 and older who are not residing in a nursing facility or intermediate care facility.
Copay: $3