1/5/2024 0 Comments Federal dental office toolkitIf a condition requiring treatment is discovered during a screening, the state must provide the necessary services to treat that condition, whether or not such services are included in a state's Medicaid plan.Įach state is required to develop a dental periodicity schedule in consultation with recognized dental organizations involved in child health care. The EPSDT benefit requires that all services must be provided if determined medically necessary. A referral to a dentist is required for every child in accordance with the periodicity schedule set by a state.ĭental services for children must minimally include: Though oral screening may be part of a physical exam, it does not substitute for a dental examination performed by a dentist. Medicaid covers dental services for all child enrollees as part of a comprehensive set of benefits, referred to as the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit. See the 2010 Medicaid/CHIP Oral Health Services fact sheet (PDF, 49.06 KB) for information on children's access to dental services and opportunities and challenges to obtaining care. States are required to provide dental benefits to children covered by Medicaid and the Children's Health Insurance Program (CHIP), but states choose whether to provide dental benefits for adults. Keep Kids Smiling Promoting Oral Health Through the Medicaid Benefit for Children and Adolescents (PDF, 578.09 KB)ĭental health is an important part of people's overall health.Tips for Good Oral Health During Pregnancy.Oral Health Care During Pregnancy: A National Consensus Statement.Find a Medicaid/CHIP Dental Provider in your State.AAPD State EPSDT Dental Periodicity Schedules.2008 Individual State Reports (ZIP, 1.64 MB).2008 National Dental Summary Report (PDF, 338.04 KB).2010 Individual State Reports (ZIP, 783.94 KB).2010 Eight-State Medicaid Dental Review Summary Report (PDF, 132.55 KB).Policy Issues in the Delivery of Dental Services (PDF, 54.95 KB).Guide to Children's Dental Care in Medicaid (PDF, 610.32 KB).Federal Policy Guidance-Dental Coverage in CHIP (PDF, 222.02 KB). ![]()
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