Medicaid Adult Dental Coverage Checker categorizes benefits to help identify potential areas for improvement
CareQuest Institute for Oral Health®, in partnership with the
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The Medicaid Adult Dental Coverage Checker is an interactive tool that allows policymakers, administrators, and advocates to easily understand where a given state’s Medicaid adult dental benefits program stands on a continuum from no dental benefits to extended benefits, helping to identify areas for improvement and expansion.
“Lack of dental insurance is a driving factor in the vast health disparities that exist in underserved and marginalized communities,” said
Four leading oral health and health policy organizations have created this new coverage checker to help stakeholders better understand current benefits and get clear guidance on how to improve coverage. The organizations first created an updated, evidence-based definition of a broad Medicaid adult dental benefit, then developed a consensus assessment survey, completed by state dental directors, to collect detailed benefit information. dental care for adults offered by the Medicaid program in each state.
“The coverage checker allows us to evaluate Medicaid programs based on very specific types of dental services covered by the program as well as annual dollar limits. This is a huge step forward in understanding the oral health policy landscape,” said
The Coverage Auditor examines coverage for specific procedures and services, including authorized frequency, in eight categories of services that are most often reimbursed by employer dental insurance plans and are essential to the maintenance of good health. oral health throughout life.
“Oral health is essential to overall health and there are significant disparities for those who do not have access to dental services,” said
Medicaid is a key source of health care coverage for more than 80 million people in
While most states provide at least emergency/emergency dental benefits (defined differently by states) for adults, nearly a third of all states do not provide dental care beyond emergency procedures. emergency. According to new data from the second annual State of America’s Oral Health Equity Survey from the CareQuest Institute, 77 million adults in the United States do not have dental insurance.
Recent studies reveal the following benefits of comprehensive Medicaid coverage:
Better access to dental care can lead to lower medical care costs for people who are pregnant or have chronic conditions such as diabetes and heart disease.
Dental coverage dramatically reduces costly emergency department (ED) visits for dental issues. National dental emergency room visits cost approximately
$2.1 billionper year, but nearly 79% of these visits could have been handled in a dental practice, saving up to $1.7 billionper year.
Children whose parents have Medicaid dental coverage are more likely to have had a dental visit in the past year and less likely to have deferred dental work.
Adults who obtain dental coverage through Medicaid report improved oral health and employability.
CareQuest Institute for Oral Health® is a national nonprofit organization advocating for a more equitable future where every person can reach their full potential through excellent health. We achieve this through our work in grantmaking, research, health improvement programs, policy and advocacy, and education, as well as our leadership in dental and health benefits. innovation. We collaborate with thought leaders, healthcare providers, patients and local, state and federal stakeholders, to accelerate the transformation of oral healthcare and create a system designed for everyone. To learn more, visit carequest.org and follow us on TwitterLinkedIn, Facebook and Instagram.
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