Dental Services Provided In
The Medical Assistance Program
The scope of benefits for which MA recipients are eligible differ according to recipients’ categories of assistance. MA covers the following:
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All medically necessary dental services for children under age 21 enrolled in MA.
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Categorically needy individuals 21 years of age or older are eligible for all medically necessary dental services. Families with children who are eligible for MA and who meet the financial eligibility requirements for TANF, SSI or an optional State supplement are also defined as categorically needy. These services include diagnostic (exam & x-rays), preventive (prophys), restorations (amalgam and composite restorations), extractions, other types of oral surgery, complete and partial dentures, root canals and crowns.
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Dental services are also provided for medically needy only adults for palliative treatment or if the condition of the patient requires services be provided in a short procedure unit (SPU), ambulatory surgical center (ASC) or inpatient hospital.
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Beneficiaries in nursing homes and ICF-MR Facilities are afforded the same coverage as adults.
For additional information on covered services please contact your local Children of Family Services.
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