Adult dental preventive, diagnostic and minor restorative services and treatment planning

Beginning April 1, 2014, Medicaid enrolled adult clients age 21 years and over have access to basic adult dental preventive, diagnostic and minor restorative services and treatment planning!

For a full list of billable adult dental services, please refer to pages 5 – 6 and Attachment A of the Department’s April Provider Bulletin.

As a reminder, access to the more comprehensive benefit, which includes services that require prior-authorization, such as root canals, crowns, partial dentures and periodontal scaling and root planning, will become available July, 1, 2014, once the Department hires an Administrative Services Organization to manage dental benefit utilization and assist us to build a robust Medicaid dental provider network.

In addition to the Provider Bulletin above, below we have included links to various tools that should help you familiarize yourself with the current benefit and assist you in educating others. They include:

For Providers
· Adult Medicaid Dental Benefit Provider Frequently Asked Questions
· Adult Medicaid Dental Benefit and PETI Frequently Asked Questions for Providers & Nursing Facilities

For Clients
· Adult Medicaid Dental Benefit Fact Sheet
· Adult Medicaid Dental Benefit and PETI Frequently Asked Questions for Clients