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Medicaid Adult Dental Benefit

Florida Medicaid Needs Stronger Dental Benefits 

  • Florida Medicaid benefits are limited to extremely low-income parents and people with disabilities and does not guarantee preventive oral health services to enrollees.  

  • For people 21 years and older Florida Medicaid only covers emergency dental services to alleviate pain, infection, or both, and procedures essential to prepare the mouth for dentures

  • There is no clarity about what, if any, non-emergency dental benefits are provided through Florida Medicaid Dental Managed Care.  

  • Only parents of dependent children who earn less than 27% of the federal poverty level ($486 per month for a family of three) qualify for Medicaid in Florida.  

  • Non-disabled adults without dependent children or parents who make more than the meager amount allowed by Florida Medicaid do not qualify for any health benefits.  

What Florida Can Do?

  • Expand the minimum adult dental benefits provided by Medicaid to include:

    • Services necessary to prevent disease and promote oral health, restore oral structures to health and function

    • Treatment of emergency conditions

    • Routine diagnostic and preventive care, such as dental cleanings, exams and x-rays

    • Basic dental services such as fillings and extractions

    • Major dental services such as root canals, crowns and dentures and other dental protheses

  • Use the Take Action link to send a message to your Florida legislators before the 2021 legislative session (March 2, 2021).

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