Right now, states are required to provide dental benefits to children covered by Medicaid and the Children’s Health Insurance Program (CHIP), but states choose whether to provide dental benefits for adults covered by Medicaid. In Colorado, the dental benefit for adults provides eligible Medicaid members up to $1,000 in dental services per fiscal year. According to the Colorado Department of Health Care Policy & Financing, the adult benefit covers:
- Basic preventive dental exams
- Diagnostic and restorative dental services (such as x-rays and fillings)
- Extractions (tooth pulling)
- Root canals
- Crowns
- Partial dentures*
- Complete dentures*
- Periodontal scaling
- Root planing
- Other procedures requiring prior authorization will also be available.
* Partial and complete dentures are not subject to the $1,000 cap per state fiscal year.
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