Benefit cap set for Medicaid dental plans
This week, the state program announced a benefit limit for adult members enrolled in the Dental Wellness Plan, a plan that allows adult Medicaid members aged 19 and older to receive dental coverage from carriers Delta Dental and MCNA Dental.
"The
The new rule -- in place for members aged 21 and older, or a total of 301,348 members in
Children will not be affected by this change.
The dental benefits themselves are not changing, said
This limit does not include preventive, diagnostic or emergency dental services, as well as anesthesia in conjunction with oral surgery and fabrication of dentures. According to the
Members will be limited to one set of replacement dentures every five years. But a replacement sooner than that is possible by obtaining prior authorization for a medically necessary replacement.
"There already is a
How to submit public comment
The deadline to submit public comment is
Comments can be sent via email to [email protected].
Written comments may be mailed to:
For more information visit dhs.iowa.gov/public-notices/DWP.
l Comments: (319) 368-8536; [email protected]
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