Dental health is very vital for the overall health of your child and in order to enhance this, states are under obligations to offer dental benefits to children who are protected by Medicaid and the Children Health Insurance Program (CHIP). You can get a Medicaid child dentist once you enrol your child for any of these programs.
Dental Benefits for Children in Medicaid
Medicaid provides dental services for children who are enrolled for the program as part of an extensive series of benefits known as Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit. Oral screening may be a component of physical examination but it cannot take the place of a dental examination carried out by a dentist. Your child needs to be referred to a Medicaid child dentist in conformity with your state’s periodicity schedule. Dental coverage for your child include relief of pain and infections, reformation of teeth and general dental health maintenance.
In order for your child to enjoy the EPSDT benefit and get access to Medicaid child dentist, your state must be able to determine the medically necessity of your child’s condition. If it is discovered through screening that a condition requires treatment, the state is under obligation to provide services that will ensure that the condition is treated, whether such services are in the Medicaid plan of the state or not. Every state is under obligation to create a dental periodicity schedule by discussing with relevant stakeholders, especially dental organizations that are actively involved in providing health care for children. It is important to note that dental services for children under EPSDT may not be restricted to emergency services.
It is important for dental services to be offered at specific periods that are in accordance with dental practice’s reasonable standards. So that suspected condition or illness can be determined. It is the duty of the states to consult with notable dental organizations to determine the periods. A referral to a Medicaid child dentist is compulsory in line with the determined periodicity schedule of the state and other periods as may be medically compelling. However, the EPSDT periodicity schedule for other services may not hold sway for dental services.
Dental Benefits for Children in CHIP
Under CHIP, states providing coverage for children under Medicaid expansion program are under obligation to offer the benefits of EPSDT. CHIP dental coverage includes dental services paramount to the prevention of diseases and enhancing dental health, restoring oral structures and treating emergencies.
States that have divergent CHIP program can select from two alternatives for the provision of dental coverage. They can either choose a dental package with benefits that is in line with all CHIP requirements. Or a package with benchmark benefits. The benchmark benefits must be equivalent to the greatest well-received federal employee dependents dental plan. State employee dependents dental plan or commercial insurance dental plan in the state. States are under obligation to provide the list of participating Medicaid as well as CHIP dental participants. And benefits of the packages through InsureKidsNow.gov.
Children’s Oral Health Initiative
As tooth decay remains of the greatest threat to child’s dental well-being. Children enrolled in Medicaid and CHIP have the opportunity of getting access to a Medicaid child dentist. In order to improve their dental well-being. Many states have keyed into the program resulting in increased number of enrolled children. The Center for Medicare & Medicaid Services (CMS) has taken giant strides in boosting access to dental services for children. CMS came up with a national oral health strategy in conjunction with federal and state governments as well as other stakeholders in the dental profession. CMS has also developed a program known as Keep Kids Smiling. Aimed at supporting state’s Medicaid and CHIP programs in order to achieve their advancement goals.
Health Reform and Kids’ Dental Care
Dental care is now accessible to more kids with the Affordable Care Act. Which makes it mandatory for insurance companies to include dental care benefits for children up to 19 years of age in all their health plans. As a result of this, if you buy a health insurance package in your state. It must have dental coverage for children. Dental coverage can be purchased for your kids in two ways. By means of general health plan or by buying a unique dental plan.
The coverage of your child’s dental plan varies from one state to the other. Usually, you should expect dental examination every six months. Fluoride treatments, cleanings, part of expenses for braces covered, just to mention a few. The benefits available in your state may not be the same with other states. And your plan may not have the same benefits with other plans. In most cases, you will need to visit a network of dentists. In order to get the maximum benefits of your plan. It is very important to understand the areas covered as well as areas not covered. So that you will be adequately ready before getting a plan.
The Affordable Care Act will give you and your children the opportunity to get dental health coverage for an enhanced dental care. You cannot turn down your kids when they have dental problems. And your out-of-pocket commitment will be minimal, especially for prescriptions. Your out-of-pocket cost will not be more than a specific total in a year. It is no longer legal for insurance companies to fix annual and lifetime limits on plans.
On A Final Note
You can get a Medicaid child dentist for your children by enrolling them for Medicaid or Children Health Insurance Program (CHIP). Your kids deserve the best and no matter your financial status. There is a dental plan that is ideal to cater for their dental needs. It is important to enroll your children so that they can benefit from regular checkups. Which will go a long way in identifying dental problems and tackling them before they deteriorate. It will also give them the opportunity to get treatment as soon as any problem arises. So that their dental health will not jeopardize.