Is It Hard to Get Medicaid for Dental?


Quick Answer

Individual states decide whether or not to offer dental insurance for adults under the Medicaid program, explains Medicaid.gov. However, states must provide dental coverage to children covered by Medicaid.

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Full Answer

Less than half of U.S. states provide dental care under the Medicaid program, explains the U.S. Department of Health and Human Services. Most states do provide some form of coverage in the event of dental emergencies for people over the age of 21. The Early and Periodic Screening and Treatment benefit helps children covered by Medicaid to receive early diagnosis, prevention and treatment of dental conditions.

To qualify for dental coverage, individuals must first apply for Medicaid under their state’s program, explains the American Dental Association. Medicaid is a health insurance program governed by the state and federal level. The program focuses on providing basic health insurance for low-income individuals across the United States. State Medicaid programs cover inpatient and outpatient services, physician services, follow-up care along with nursing home, and home health care for the disabled and the elderly. Federal law does require states to provide coverage to individuals who fall below certain income levels; however, states have optional authority to extend the program and what it covers including dental coverage.

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