State policies vary with regards to coverage of dentures for Medicaid recipients. Some states establish an annual monetary cap for denture benefits, while others limit denture benefits to certain populations, such as individuals suffering from disease or trauma.
Partial coverage is typically limited by the number of teeth remaining in the recipient's mouth. States that offer denture benefits require prior approval for initial, repair or replacement dentures to affirm a medical necessity.
It is common for states to provide replacement costs if the recipient can prove that his dentures cannot be realigned or repaired to fit properly. The majority of states provide at least emergency dental services in their respective Medicaid package, however, less than half of all states provide comprehensive dental benefits.