Alabama's Medicaid Dental Program covers certain routine preventive and restorative services for children under 21 who are fully eligible for Medicaid. Medicaid doesn't cover any type of dental care for adults. Alabama's Dental Medicaid program covers certain routine preventive and restorative services for children under 21 who have full Medicaid eligibility. Medicaid dental insurance services vary by state.
Only three states in Alabama, Delaware and Maryland do not offer dental coverage of any kind. Other states offer limited dental services or emergency services. You may even have out-of-pocket expenses that work similar to a deductible before Medicaid covers your dental care. For a complete list of Medicaid adult dental coverage by state, see this list.
Adult dental coverage through Medicaid varies widely from state to state, and only four states offer no coverage at all. If you live in Alabama, Tennessee, Delaware, or Maryland, Medicaid doesn't have adult dental coverage. The remaining 46 states, along with the District of Columbia, have some type of dental coverage. Many Medicaid programs limit the amount of money spent per person on their dental plan and, at the same time, enforce strict regulations on the services available.
If your state needs more information from you to make a coverage decision, they will send you a renewal letter in the mail. If you want to buy a dental plan that doesn't qualify under the ACA, ask a dentist for recommendations or look online. For those with kidney failure, AL Medicaid will cover 156 annual outpatient dialysis treatments per year, which equates to three per week. For this reason, make sure to find a covered dentist in your state, even if you only plan to have a dental cleaning.
These plans are not subject to the ACA's essential health benefit rules for pediatric dental coverage, but they are regulated by the Alabama Department of Insurance. For Alabama children, there is ALL Kids (which is CHIP from Alabama), a program that provides coverage to children and pregnant women with incomes above Medicaid eligibility limits. As with all essential health benefits, specific coverage requirements for pediatric dental care are governed by the state's Essential Health Benefits Referral Plan. Medicaid coverage for other dental treatments, such as pain relief, treatment of infections, and care for other oral problems, varies from state to state.
For the most accurate information about the services covered by Medicaid, visit your state government website. Use this dentist locator to find a dentist in your community who serves children and accepts Medicaid and CHIP. Orthodontic, hospitalization, and nonsurgical periodontal treatment services require prior authorization from Medicaid (at least two weeks before the procedure). Adults residing in Arkansas, Hawaii, Idaho, Indiana, Kansas, Kentucky, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Pennsylvania, South Carolina, South Dakota, Vermont, or Wyoming have access to limited dental services through Medicaid.
Nationwide, Medicaid covers about one in six dollars spent on health care and about half of all dollars spent specifically on long-term care. Families can check their insurance cards or contact their insurance companies for help identifying the benefit plan through which they receive dental services. While you may be able to get coverage for other prescription drugs, there is an Alabama Medicaid Preferred Drug List. .