EPSDT Dental Services

HOW TO ACCESS:

Dentist

ELIGIBILITY:

Medicaid recipients 0 through 20 years of age.

COVERED SERVICES:

The EPSDT Dental Program provides coverage of certain diagnostic; preventive; restorative; endodontic; periodontic; removable prosthodontic; maxillofacial prosthetic; oral and maxillofacial surgery; orthodontic; and adjunctive general services.  Specific policy guidelines apply.

Comprehensive Orthodontic Treatment (braces) are paid only when there is a cranio-facial deformity, such as cleft palate, cleft lip, or other medical conditions which possibly results in a handicapping malocclusion. If such a condition exists, the recipient should see a Medicaid-enrolled orthodontist.  Patients having only crowded or crooked teeth, spacing problems or under/overbite are not covered for braces, unless identified as medically necessary.

COMMENTS:

DentaQuest and MCNA Dental administer the dental benefits for eligible Medicaid recipients. Contact your plan to locate a network provider for questions about covered dental services.



CONTACT:

Kevin Guillory          225/342-7476

Andrea Perry           225/342-7877

MCNA Dental          1-855-702-6262

Visit MCNA online at www.mcnala.net 

DentaQuest             1-800-685-0143

Visit DentaQuest online at www.DentaQuest.com