States may elect to provide dental services to their adult Medicaid-eligible population or, elect not to provide dental services at all, as part of its Medicaid program. While most states provide at least emergency dental services for adults, less than half of the states provide comprehensive dental care.
What is extra dental care for adults?
Adult dental care consists of preventive measures, such as X-rays, exams, and cleanings, as well as additional services, such as fillings and root canals, if needed. If you need dental care and don’t currently have dental coverage, paying out of pocket at a private dentist’s office may be challenging.
Does Illinois Medicaid cover extractions?
In general, individuals between the age of 5 and 20 who are on Illinois Medicaid are entitled to certain dental services that are considered “oral surgery”. These services include tooth extractions and wisdom tooth removal.
What Medicaid covers Illinois?
Covered services include doctor and hospital care, lab tests, rehabilitative services such as physical and occupational therapy, home health, mental health and substance use disorder services, dental and vision services, and prescription drugs.
What kind of dental care is covered by Illinois Medicaid?
Starting July 1, preventive dental care services for adults will be covered under Illinois’ Medicaid program. Adult Medicaid recipients in Illinois can now receive coverage for preventive dental services, which include regular exams and teeth cleanings.
Do you have to have dental insurance to get Medicaid?
Federal law does not mandate any minimum requirements for adult dental coverage under Medicaid, allowing states to decide whether or not to provide such coverage. As with other optional Medicaid benefits for adults, states that cover dental services under Medicaid can define the amount, duration, and scope of the services covered.
When does dental insurance go into effect in Illinois?
Adult Medicaid recipients in Illinois can now receive coverage for preventive dental services, which include regular exams and teeth cleanings. Coverage for these services were part of the new state budget that took effect on July 1.
Where can I find out about dental services in Illinois?
To find out more information regarding participating dental providers, covered services for children and adults, and information on school-based dental services visit the Illinois Department of Healthcare and Family Services webpage .
