Medicaid Benefits: Other Medical or Remedial Care – Hygienists or Dental Assistants
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2018
| Location | Benefit Covered | Copayment Required? | Limits on Services |
|---|---|---|---|
| United States | Yes - 21 No - 21 NR - 9 | Yes - 8 | Yes - 13 |
| Alabama | No | ||
| Alaska | Yes | Yes - Not Specified | Prior authorization required |
| Arizona | Yes | No | $1000 limit for emergency dental services, $1000 comprehensive benefit for ALTCS members |
| Arkansas | No | ||
| California | Yes | $1 per outpatient dental visit | Limited to services within scope of practice |
| Colorado | Yes | No | $1,000 maximum reimbursement covered per client, per year. Specific limitations apply depending on the dental procedure. |
| Connecticut | Yes | No | One prophy per year for every member over the age of 19 years old unless medically necessary. |
| Delaware | No | ||
| District of Columbia | No | ||
| Florida | No | ||
| Georgia | No | ||
| Hawaii | No | ||
| Idaho | No | ||
| Illinois | NR | NR | NR |
| Indiana | NR | NR | NR |
| Iowa | NR | NR | NR |
| Kansas | Yes | $3.00 per service date | 1 exam and cleaning per 6 months; frequency of x-rays varies by type |
| Kentucky | Yes | $3 | Limit depends upon service provided |
| Louisiana | NR | NR | NR |
| Maine | Yes | No | 2 exams with cleaning/year but only 1 in 150 days |
| Maryland | No | ||
| Massachusetts | Yes | No | No |
| Michigan | No | ||
| Minnesota | Yes | $3 copay for non-preventive office visits | No |
| Mississippi | No | ||
| Missouri | Yes | No | Traditional Medicaid Adults have dental coverage under a limited dental benefit package (CDT-code specific). Some of the services can be performed by Dental Hygienists. |
| Montana | Yes | No | No |
| Nebraska | Yes | $3 for specified services | No |
| Nevada | NR | NR | NR |
| New Hampshire | NR | NR | NR |
| New Jersey | Yes | No | No |
| New Mexico | Yes | $7 for WDI recipients, on non-preventive services. | No |
| New York | NR | NR | NR |
| North Carolina | No | ||
| North Dakota | No | ||
| Ohio | No | ||
| Oklahoma | No | ||
| Oregon | Yes | No | Dental services for adults include the prevention and amelioration of dental disease states, limits on denture, crown, and periodontal coverage. Pregnant women receive some additional services. |
| Pennsylvania | No | ||
| Rhode Island | Yes | No | No |
| South Carolina | NR | NR | NR |
| South Dakota | No | ||
| Tennessee | No | ||
| Texas | Yes | No | Prior authorization required |
| Utah | No | ||
| Vermont | Yes | No | Limited to services provided by licensed dental hygienist within scope of practice who is in a collaborative agreement with a dentist licensed in Vermont |
| Virginia | No | ||
| Washington | Yes | No | No |
| West Virginia | NR | NR | NR |
| Wisconsin | Yes | $0.50 - $3, depending on the service | A small number of services require prior approval. |
| Wyoming | No |