Dental Plans and Program
In Florida, most Medicaid recipients are enrolled in the Statewide Medicaid Managed Care program. The program has three parts: Managed Medical Assistance, Long-Term Care, and Dental. People on Medicaid will get services using one or more of these plan types:
• Managed Medical Assistance (MMA): Provides Medicaid covered medical services like doctor visits, hospital care, prescribed drugs, mental health care, and transportation to these services. Most people on Medicaid will receive their care from a plan that covers MMA services.(Click here for Health Plan and Program Information)
• Long-Term Care (LTC): Provides Medicaid LTC services like care in a nursing facility, assisted living facility, or at home. To get LTC you must be at least 18 years old and meet nursing home level of care (or meet hospital level of care if you have Cystic Fibrosis).(Click here for Health Plan and Program Information)
• Dental: Provides all Medicaid dental services for children and adults. All people on Medicaid must enroll in a dental plan.
Benefits and Contact Information
- Ambulatory Surgical Center or Hospital based Dental Services
- Dental Exams
- Dental Screenings
- Dental X-rays
- Dentures and Partials
- Extractions (removal of teeth)
- Fillings and Crowns
- Fluoride
- Oral Health Instructions
- Orthodontics (Braces)
- Periodontics
- Root Canals
- Sealants
- Sedation (dental services while asleep or partly asleep)
- Space Maintainers
- Teeth Cleanings
- Dental Exams (limited)
- Dental X-rays (limited)
- Dentures
- Extractions (removal of teeth)
- Pain Management
- Problem Focused Exam
- Sedation (dental services while asleep or partly asleep)
Expanded Benefits (Services that are covered in addition to your current benefits) Contact the plan for benefit limits | ||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Contact and Plan Information | ||||||||||||||||||||
Plan Report Cards | Click here to view Plan Report Cards | |||||||||||||||||||
Expanded Benefits for All Ages | ||||||||||||||||||||
Hydroxyapatite (Calcium) Application | ||||||||||||||||||||
Over-the-Counter Products | ||||||||||||||||||||
Expanded Benefits for Ages 20 and Under | ||||||||||||||||||||
Nutritional and Tobacco Cessation Counseling | ||||||||||||||||||||
Surgical Placement and Maintenance of Implant Body, Abutment and Crown | ||||||||||||||||||||
Expanded Benefits for Ages 21 and Over | ||||||||||||||||||||
Adjunctive Dental Services – Treatment of Complications | ||||||||||||||||||||
Amalgam Restorations (Dental Fillings) | ||||||||||||||||||||
Cavity Medicament | ||||||||||||||||||||
Debridement (Removal of Damaged Tissue or Foreign Objects) | ||||||||||||||||||||
Diabetes Testing | ||||||||||||||||||||
Diagnostic X-Rays | ||||||||||||||||||||
Oral Hygiene Instruction | ||||||||||||||||||||
Oral Screenings and Evaluation | ||||||||||||||||||||
Periodontal Maintenance | ||||||||||||||||||||
Periodontal Scaling | ||||||||||||||||||||
Prophylaxis (Cleaning Treatment) | ||||||||||||||||||||
Sealants | ||||||||||||||||||||
Topical Fluoride and Fluoride Varnish | ||||||||||||||||||||
Expanded Benefits for Seniors Ages 65 AND Older | ||||||||||||||||||||
Crowns – Porcelain Ceramic and Resin Based | ||||||||||||||||||||
Crowns – Stainless Steel (Pre-Fabricated) | ||||||||||||||||||||
Endodontic Therapies, including Root Canals (Anterior, Premolar, Molar) | ||||||||||||||||||||
Therapeutic Parenteral Drugs | ||||||||||||||||||||
Expanded Benefits for Individuals with Developmental Disabilities | ||||||||||||||||||||
Acclimation Visits | ||||||||||||||||||||
Adjunctive Dental Services – Behavioral Management | ||||||||||||||||||||
Adjunctive Dental Services – Denture Cleaning and Inspections | ||||||||||||||||||||
Crowns – Porcelain Ceramic and Resin-Based | ||||||||||||||||||||
Crowns – Stainless Steel (Pre-Fabricated) | ||||||||||||||||||||
Endodontic Therapies, including Root Canals (Anterior, Premolar, Molar) | ||||||||||||||||||||
Prophylaxis (Extra Cleanings) | ||||||||||||||||||||
Expanded Benefits for Pregnant Women | ||||||||||||||||||||
Periodontal Maintenance | ||||||||||||||||||||
Prophylaxis (Extra Cleanings) |