Missouri Medicaid offers limited dental coverage for adults and beneficiaries who qualify. Emergency dental procedures like pain relief and infection treatment are covered, as well as some basic preventive services like exams, cleanings, and X-rays. Restorative services such as fillings and root canals are limited to children, and more extensive procedures like dentures or crowns are not typically covered. Coverage varies depending on the patient’s specific circumstances and the type of dental care needed. Pre-existing dental conditions may not be covered. To find out more, individuals should contact their local Medicaid office or managed care plan for specific details about their coverage.
Eligibility for Missouri Medicaid Dental Coverage
To be eligible for Missouri Medicaid dental coverage, you must meet certain requirements. These requirements include:
- Being a Missouri resident.
- Being a U.S. citizen or a qualified non-citizen.
- Meeting income and asset limits.
- Being enrolled in a Medicaid managed care plan.
Missouri Medicaid Dental Coverage Includes
Missouri Medicaid dental coverage includes a wide range of services, including:
- Preventive care, such as cleanings, exams, and X-rays.
- Restorative care, such as fillings, crowns, and bridges.
- Endodontic care, such as root canals.
- Periodontic care, such as gum disease treatment.
- Oral surgery, such as tooth extractions.
The exact services covered may vary depending on your age and specific needs.
Missouri Medicaid Dental Coverage Costs
Missouri Medicaid dental coverage is free for most people. However, some people may have to pay a small copayment for certain services.
How to Apply for Missouri Medicaid Dental Coverage
To apply for Missouri Medicaid dental coverage, you can:
- Visit the Missouri Department of Social Services website.
- Call the Missouri Medicaid customer service line at 1-800-392-1802.
- Visit your local Medicaid office.
Missouri Medicaid Dental Coverage Providers
You can find a Missouri Medicaid dental coverage provider by:
- Visiting the Missouri Department of Social Services website.
- Calling the Missouri Medicaid customer service line at 1-800-392-1802.
- Visiting your local Medicaid office.
Some Missouri Medicaid dental coverage providers include:
| Provider | Website | Phone Number |
|---|---|---|
| Delta Dental of Missouri | www.deltadentalmo.org | 1-800-334-7183 |
| Missouri Dental Association | www.modental.org | 1-800-383-1302 |
| University of Missouri-Kansas City School of Dentistry | www.umkc.edu/dentistry | 1-816-235-2254 |
Eligibility Requirements for Dental Coverage
To qualify for dental coverage under Missouri Medicaid, individuals must meet specific eligibility requirements. These requirements are outlined by the Missouri Department of Social Services and are subject to change. Here’s an overview:
- Age: Individuals must be under the age of 21 or over the age of 65.
- Income and Assets: Individuals must meet income and asset limits set by the program. The limits vary depending on household size and composition.
- Disability: Individuals with disabilities, as defined by the Social Security Administration, may also be eligible for dental coverage.
- Pregnancy: Pregnant women are eligible for dental coverage regardless of their income or assets.
- Children: Children under the age of 19 are eligible for dental coverage regardless of their family’s income or assets.
- Institutionalization: Individuals residing in long-term care facilities or other institutions may also be eligible for dental coverage.
In addition to these general eligibility requirements, some individuals may qualify for dental coverage under special programs or exceptions. For more information about eligibility, contact the Missouri Department of Social Services or visit their website.
| Household Size | Income Limit (Gross Monthly) |
|---|---|
| 1 | $1,482 |
| 2 | $1,994 |
| 3 | $2,506 |
| 4 | $3,018 |
| 5 | $3,530 |
| 6 | $4,042 |
Note: Income limits are subject to change annually.
Does Missouri Medicaid Cover Dental?
Yes, Missouri Medicaid covers a range of dental services for eligible children, pregnant women, and adults. However, the specific services and coverage may vary depending on the individual’s age, health conditions, and other factors. Here’s an overview of the dental services typically covered by Missouri Medicaid:
Covered Dental Services
- Exams and Cleanings: Regular checkups, exams, and professional teeth cleanings are covered to help prevent oral health problems and maintain good oral hygiene.
- Fillings: Missouri Medicaid covers fillings to restore decayed or damaged teeth, preventing further decay and discomfort.
- Extractions: In cases where a tooth is severely damaged or cannot be saved, Medicaid coverage includes tooth extractions to alleviate pain and prevent infection.
- Root Canals: When the pulp of a tooth is infected or inflamed, root canal treatment is covered to save the tooth and prevent further complications.
- Crowns: Dental crowns are covered to restore the shape, strength, and function of a severely damaged or decayed tooth.
- Dentures: For individuals who have lost multiple teeth, dentures are covered to replace missing teeth and restore chewing and speaking abilities.
- Oral Surgery: Medicaid covers oral surgeries such as wisdom teeth removal, gum surgery, and other procedures deemed medically necessary.
Note: The coverage for certain dental services may be limited or restricted based on age, medical conditions, or other criteria. It’s important to contact your Medicaid provider or review the state’s Medicaid dental coverage guidelines for specific details.
Additional Information
- Emergency Dental Care: Missouri Medicaid covers emergency dental care services to address sudden and severe oral pain or infections. These services may include pain medication, antibiotics, or other treatments to stabilize the condition.
- Prior Authorization: Some dental procedures may require prior authorization from Medicaid before the service is provided. It’s essential to check with your Medicaid provider or dental office to determine if prior authorization is necessary for specific treatments.
- Provider Network: Missouri Medicaid has a network of dental providers who accept Medicaid patients. You can find a list of participating dentists and dental clinics in your area by contacting your Medicaid provider or visiting the state’s Medicaid website.
| Age Group | Covered Services |
|---|---|
| Children (0-20 years) | Exams, cleanings, fillings, extractions, root canals, crowns, dentures, emergency care |
| Pregnant Women | Exams, cleanings, fillings, extractions, root canals, crowns, emergency care |
| Adults (21 and older) | Exams, cleanings, fillings, extractions, emergency care |
Disclaimer: The information provided here is for general informational purposes only and should not be taken as medical or dental advice. For specific questions or concerns about your dental coverage under Missouri Medicaid, please contact your Medicaid provider or consult the state’s Medicaid dental coverage guidelines.
Eligibility Requirements for Dental Coverage
To qualify for dental coverage under Missouri Medicaid, you must meet specific eligibility criteria. These criteria include:
- Being a Missouri resident
- Being a U.S. citizen or qualified non-citizen
- Meeting income and asset limits
- Being enrolled in a Medicaid program, such as MO HealthNet
How to Apply for Dental Coverage
To apply for dental coverage under Missouri Medicaid, you can:
- Contact your local Medicaid office or visit the Missouri Department of Social Services website.
- Complete a Medicaid application and provide required documents, such as proof of income, identity, and residency.
- Submit your application and supporting documents to your local Medicaid office or mail them to the address provided on the application form.
Covered Dental Services
Missouri Medicaid covers a range of dental services for eligible individuals, including:
- Checkups and cleanings
- Fillings and sealants
- Extractions and root canals
- Dentures and bridges
- Orthodontic services (in limited cases)
The exact scope of covered services may vary based on your specific Medicaid program and individual needs. It’s recommended to contact your local Medicaid office or consult the Missouri Department of Social Services website for more information.
Limitations and Exclusions
There are certain limitations and exclusions to dental coverage under Missouri Medicaid. These may include:
- Coverage may be limited to certain providers or clinics that accept Medicaid.
- Some cosmetic procedures and elective treatments may not be covered.
- There may be waiting periods or prior authorization requirements for certain services.
Additional Resources
For more information about dental coverage under Missouri Medicaid, you can refer to the following resources:
- Missouri Department of Social Services website: https://dss.mo.gov/healthcare/medicaid-and-medicare-recipients
- Missouri Medicaid Managed Care website: https://mydss.mo.gov/healthcare/medicaid-managed-care
- National Medicaid website: https://www.medicaid.gov/
| Household Size | Income Limit |
|---|---|
| 1 | $29,154 |
| 2 | $39,247 |
| 3 | $49,340 |
| 4 | $59,433 |
| 5 | $69,526 |
| 6 | $79,619 |
| 7 | $89,712 |
| 8 | $99,805 |
Thanks for dropping by and learning about Missouri Medicaid’s coverage of dental services. I hope you found this article informative and helpful. Remember, the Medicaid program can be complex, so if you have additional questions or need further clarification, don’t hesitate to reach out to the Missouri Medicaid office or visit their website. In the meantime, stay tuned for more updates and insights on Medicaid and other healthcare-related topics. I’ll be back soon with more interesting content, so make sure to visit again. Until next time, keep smiling!