Dental Services to be Included in the Medicaid Managed Care Benefit
NYS Medicaid Update April 2012
http://www.health.ny.gov/health_care/medicaid/program/update/2012/april12mu.pdf
Effective July 2, 2012, all Medicaid managed care plans will be required to cover dental services for their enrollees. Currently, health plans have the option of covering dental services for their Medicaid enrollees.
Health plans will still have the option of covering dental services for Family Health Plus beneficiaries.
Medicaid managed care enrollees who are currently authorized and receiving dental care on a fee-for-service basis, and who fall under the interrupted treatment policy, will continue to have those services covered by Medicaid fee-for-service. Please refer to the eMedNY Dental Provider Manual and the June 2008 Medicaid Update article, “Policy on Interrupted Treatment for Dental Procedures”, for additional information.
Dentists are encouraged to apply for participation in the networks of Medicaid managed care plans operating in their county of practice.
Orthodontic Services to be Included in the Medicaid Managed Care Benefit
Effective October 1, 2012, all Medicaid managed care plans will be required to cover orthodontic services for eligible enrollees under age 21. Orthodontic services are currently “carved out” and paid on a fee-for-service basis for Medicaid managed care enrollees.
Orthodontists are encouraged to apply for participation in the networks of Medicaid managed care plans operating in their county of practice. Additional information will be available in future Medicaid Update newsletters.