• What's Covered


• Eligibility


• Waivers


• Broken/Cancelled/Missed Appointments

Routine dental services are covered for Medicaid beneficiaries from birth through the month of their 21st birthday, as well as for adults enrolled in the Mentally Retarded/Related Disabilities (MR/RD) Waiver program. Dental services are defined as any covered diagnostic, preventive, therapeutic, rehabilitative or corrective procedure. Services include cleanings, x-rays, in office fluoride treatments (every 6 months), sealants, restorations (fillings), extractions, replacement of missing teeth (dentures and partials for 21 and under beneficiaries) and some oral surgery procedures.

Services for beneficiaries over age 21 are limited to emergency treatment only. These services are those necessary to repair traumatic injury, to relieve acute severe pain, to control an acute infectious process and emergency services due to a catastrophic medical condition (organ transplant, chemotherapy, etc.).