In 2016, the Florida Legislature directed the Agency for Health Care Administration (Agency) to enroll most Medicaid recipients into dental plans.
Recipients will receive a dental plan based on the below schedule. The schedule is separated into phases by the recipient’s county location.
Recipients will begin to receive letters soon. They will be mailed out about 45 days before each phase starts. For example, recipients will begin to receive letters for Phase 1 in the middle of October. For more information, please click on the following link: http://ahca.myflorida.com/Medicaid/statewide_mc/pdf/mma/Dental_Overview_Final_081518.pdf
It is important for babies, children, and adults to see a dentist at least twice a year. The earlier children see a dentist, the healthier their gums and teeth will stay for their whole life. Children should begin seeing a dentist by age 1, even if they do not have teeth yet.
Problems with teeth and gums can be avoided by seeing a dentist early in life and on a regular basis. Brushing, flossing and avoiding sugary foods and drinks can help with healthy teeth and gums.
If a tooth problem does occur, it can have serious effects on your overall health. Tooth problems can also cause problems like not being able to bite and chew food, problems in school, or missing school because of pain. Also, unhealthy teeth can cause problems with speaking.
Some Services may require permission from a dental plan before the dentist performs the service. This is called a prior authorization. Services must be medically necessary in order for dental plans to pay for them. For more details about dental services, contact the recipient’s dental plan starting December 1, 2018.
Some Services may require permission from a dental plan before the dentist performs the service. This is called a prior authorization. Services must be medically necessary in order for dental plans to pay for them. For more details about dental services, contact the recipient’s dental plan starting December 1, 2018.If a recipient is 21 or older, they may be eligible to receive additional dental services. For pregnant women that are 21 years and older, more services may be available to help with a healthy pregnancy. The below dental services are expanded benefits starting December 1, 2018. These are extra goods or services the dental plans provide to adult and pregnant adult recipients, free of charge:
Florida Medicaid dental plans will help children and adults find a dentist and a dental home. Call a dental plan for help starting December 1, 2018.Each dental plan’s Member Services Department can answer questions. Dental plans will help to choose or change dentists, find out if a service is covered, get referrals, find a provider, replace a lost ID card, and explain any changes that might affect dental benefits.