Dental services are important for kids. Pflugerville Smiles Dentistry, dental services is very important for healthy teeth and overall health. Dental services can be covered by Medicaid if the family earns less than a certain minimum income level. Dental services offered by Medicaid are generally not provided at dental check-ups. Medicaid provides coverage only for those services that are necessary for maintaining health and well-being of an individual child along with his or her family. Therefore, dental services that are required by Medicaid beneficiaries will generally not include cosmetic services.

AFSPA - Ancillary Insurance Programs

Medicaid generally offers two types of coverage, namely, prenatal and childbearing health and dental coverage. Prenatal care is generally not available on the open Medicaid plan. Medicaid does provide coverage for certain maternal elective services such as in-foal CPR and emergency tooth extraction. Dental services provided under Medicaid are generally not considered elective by most insurance providers and therefore are not eligible for reimbursement.

Most states have a program called the Oral Health Initiative (OHI). The oral health initiative program provides state-funded preventive care and basic dental benefits to low-income pregnant women and children. States participate in the initiative through grants. All states except West Virginia currently offer some level of OHI. The federal government participates in the initiative and has extended funds for states to implement the program. Eligibility for the program depends on the ability to pay, but children and pregnant mothers may apply regardless of their family size.

Children enrolled in the Medicaid program are automatically enrolled in the State Dental Programs (either contracted through Medicaid or run separately). At least one dentist on the plan must be chosen from a list of approved dentists. States are required to provide a minimum of one dentist within their networks. The minimum number of preferred dentists is five, and the list is reviewed periodically for updates and qualifications. To participate, children must complete and submit a state application for eligibility and to upgrade upon completion.

Pregnant women can get dental services at any time, even while she is pregnant. Special coverage is available for in-network providers who treat women and children who are pregnant or expect. Specifically, dental implants and oral surgery are covered; certain services are excluded.

Medicaid enrollees may get a discount on the cost of non-obligatory dental services. However, enrollees must pay the full amount upfront, including any applicable deductibles. Premiums are also higher for uninsured enrollees than for those who have selected Preferred Provider Organizations. If Medicaid is selected as the source of coverage for a family, each member of the family must also be insured under the same organization.