Adult Denture Services

HOW TO ACCESS:

Dentist

ELIGIBILITY:

Medicaid recipients 0 to 21 years of age.

(Adults, 21 and over, certified as Qualified Medicare Beneficiary (QMB) only, Take Charge Plus or other programs with limited benefits are not eligible for dental services.)

COVERED SERVICES:

The EPSDT Dental Program provides coverage of certain diagnostic; preventive; restorative; endodontic; periodontic; removable prosthodontic; maxillofacial prosthetic; oral and maxillofacial surgery; orthodontic; and adjunctive general services.  Specific policy guidelines apply.

Comprehensive Orthodontic Treatment (braces) are paid only when there is a cranio-facial deformity, such as cleft palate, cleft lip, or other medical conditions which possibly results in a handicapping malocclusion. If such a condition exists, the recipient should see a Medicaid-enrolled orthodontist.  Patients having only crowded or crooked teeth, spacing problems or under/overbite are not covered for braces, unless identified as medically necessary.

COMMENTS:

MCNA Dental administers the dental benefits for eligible Medicaid recipients. Contact MCNA Dental to locate a network provider for questions about covered dental services.

Recipients that reside in an Intermediate Care Facility for Developmental Disabilities (ICF/DD) will continue to receive adult denture services through the Fee-For-Service Dental Services Program.

CONTACT:

Brandon Bueche    225/384-0460

MCNA Dental         1-855-702-6262