Arkansas Medicaid covers dentures for certain individuals who meet eligibility requirements. This coverage is available through the state’s Medicaid dental program, which provides a range of dental services, including preventive, restorative, and emergency care. To qualify for Medicaid coverage of dentures, individuals must meet income and resource limits, and they must also have certain medical conditions that make it necessary for them to have dentures. The coverage for dentures typically includes the cost of the dentures themselves, as well as the cost of any related services, such as exams, X-rays, and follow-up visits.
Arkansas Medicaid Dental Coverage: Eligibility and Benefits
Arkansas Medicaid provides comprehensive dental coverage to eligible individuals and families. This includes preventive, restorative, and surgical services. Dentures are covered under Arkansas Medicaid as a restorative dental service. To be eligible for Arkansas Medicaid dental coverage, individuals must meet certain eligibility requirements.
Eligibility Requirements
To be eligible for Arkansas Medicaid dental coverage, individuals must meet the following requirements:
- Be a resident of Arkansas.
- Be a U.S. citizen or a qualified non-citizen.
- Meet income and asset limits.
- Be eligible for one of the following Medicaid categories:
- Families with Dependent Children (AFDC)
- Supplemental Security Income (SSI)
- Temporary Assistance for Needy Families (TANF)
- Arkansas Works
- Aged, Blind, and Disabled (ABD)
- Children with Special Health Care Needs (CSHCN)
Individuals who meet these requirements can apply for Arkansas Medicaid dental coverage through the Arkansas Department of Human Services (DHS).
Benefits
Arkansas Medicaid dental coverage includes a wide range of services, including:
- Preventive services: cleanings, exams, and fluoride treatments
- Restorative services: fillings, crowns, and bridges
- Surgical services: tooth extractions, gum surgery, and root canals
- Dentures
Dentures are covered under Arkansas Medicaid as a restorative dental service. Dentures are artificial teeth that are used to replace missing teeth. They can be full or partial dentures. Full dentures replace all of the teeth in a single arch, while partial dentures replace only some of the teeth.
To receive dentures under Arkansas Medicaid, individuals must first see a dentist for an evaluation. The dentist will determine if dentures are medically necessary and will make a recommendation to the Arkansas Department of Human Services (DHS). DHS will then make a decision on whether or not to approve the dentures.
If DHS approves the dentures, the individual will be able to receive them from a participating dentist. The dentist will fit the dentures and provide instructions on how to care for them.
| Service | Covered |
|---|---|
| Preventive services | Yes |
| Restorative services | Yes |
| Surgical services | Yes |
| Dentures | Yes |
Arkansas Medicaid dental coverage is an important benefit that helps eligible individuals and families maintain good oral health. For more information about Arkansas Medicaid dental coverage, please visit the Arkansas Department of Human Services website or call the DHS customer service line at 1-800-987-1118.
Does Arkansas Medicaid Cover Dentures?
Arkansas Medicaid provides a wide range of dental services to eligible beneficiaries, including dentures. Dentures are false teeth that are used to replace missing teeth. They can be either partial or full, depending on the number of teeth that need to be replaced.
Covered Dental Services Under Arkansas Medicaid
- Diagnostic services
- Preventative services
- Restorative services
- Oral surgery
- Orthodontic services
- Dentures
- Dental implants
Dentures are covered under Arkansas Medicaid for beneficiaries who are:
- Aged 21 or older
- Disabled
- Pregnant
- Children under the age of 21
To receive dentures under Arkansas Medicaid, beneficiaries must first obtain a referral from their primary care provider. Once a referral is obtained, beneficiaries can schedule an appointment with a dentist who accepts Arkansas Medicaid.
The cost of dentures under Arkansas Medicaid varies depending on the type of dentures and the dentist’s fees. However, beneficiaries are typically responsible for a small copayment for dentures.
| Type of Denture | Medicaid Coverage |
|---|---|
| Partial dentures | Covered for beneficiaries aged 21 and older |
| Full dentures | Covered for beneficiaries aged 21 and older |
| Immediate dentures | Covered for beneficiaries who have had all of their teeth extracted |
| Overdentures | Covered for beneficiaries who have some remaining teeth |
Arkansas Medicaid Dental Coverage: Limitations and Exclusions
Arkansas Medicaid provides dental coverage to eligible individuals, including children, adults, and people with disabilities. The program covers a wide range of dental services, including preventive care, restorative care, and oral surgery. However, there are some limitations and exclusions in Arkansas Medicaid dental coverage.
Limitations
- Frequency of Services: The frequency of certain dental services is limited under Arkansas Medicaid. For example, cleanings are covered once every six months, and X-rays are covered once every three years.
- Amount of Coverage: Arkansas Medicaid also limits the amount of coverage for certain dental services. For example, the program covers up to $1,000 per year for restorative care and up to $2,000 per year for oral surgery.
Exclusions
The following dental services are excluded from Arkansas Medicaid coverage:
- Cosmetic procedures, such as teeth whitening and veneers
- Orthodontic treatment, except in cases of severe malocclusion
- Dental implants
- Experimental or investigational procedures
It is important to note that these limitations and exclusions may change over time. Individuals who are eligible for Arkansas Medicaid should contact their local Medicaid office to learn more about the program’s dental coverage.
| Service | Limitations | Exclusions |
|---|---|---|
| Cleanings | Once every six months | None |
| X-rays | Once every three years | None |
| Restorative care | Up to $1,000 per year | Cosmetic procedures |
| Oral surgery | Up to $2,000 per year | Orthodontic treatment (except in cases of severe malocclusion), dental implants, experimental or investigational procedures |
Arkansas Medicaid Dental Coverage for Dentures
Arkansas Medicaid provides dental coverage for dentures to eligible Medicaid recipients. Dentures are a type of removable dental appliance that replaces missing teeth. They can improve a person’s smile, speech, and ability to eat. Medicaid coverage for dentures can help low-income individuals and families afford this essential dental treatment.
Eligibility for Arkansas Medicaid Dental Coverage
To be eligible for Arkansas Medicaid dental coverage, you must meet the following requirements:
- Be a resident of Arkansas.
- Be a U.S. citizen or a qualified non-citizen.
- Meet income and asset limits.
- Be enrolled in an Arkansas Medicaid program.
Application Process for Arkansas Medicaid Dental Coverage
To apply for Arkansas Medicaid dental coverage, you can:
- Apply online at the Arkansas Department of Human Services website.
- Call the Arkansas Medicaid Customer Service Center at 1-800-382-0111.
- Visit your local Department of Human Services office.
You will need to provide the following information when you apply:
- Your name, address, and contact information.
- Your Social Security number.
- Your income and asset information.
- Proof of residency in Arkansas.
What Dental Services Are Covered by Arkansas Medicaid?
Arkansas Medicaid covers a wide range of dental services, including:
- Exams and cleanings.
- Fillings.
- Extractions.
- Root canals.
- Crowns.
- Bridges.
- Dentures.
The amount of coverage you receive for dentures will depend on your specific Medicaid plan.
How to Find a Dentist Who Accepts Arkansas Medicaid
To find a dentist who accepts Arkansas Medicaid, you can:
- Search the Arkansas Medicaid website.
- Call the Arkansas Medicaid Customer Service Center at 1-800-382-0111.
- Ask your friends or family members for recommendations.
Once you have found a dentist who accepts Arkansas Medicaid, you can schedule an appointment for a dental exam. The dentist will evaluate your oral health and determine if you need dentures.
Paying for Dentures with Arkansas Medicaid
If you are eligible for Arkansas Medicaid dental coverage, you will not have to pay anything for your dentures. Medicaid will pay the full cost of the dentures.
| Type of Denture | Coverage |
|---|---|
| Full Dentures | 100% |
| Partial Dentures | 100% |
| Immediate Dentures | 100% |
| Overdentures | 100% |