The Arc of Florida Dental Services Scholarship

***IMPORTANT: The Arc of Florida Dental Program will begin accepting Scholarship Applications July 1, 2019 for Dental Services for the new funding year. The new Application is available below.****

kristen_hillsWhat a difference a year makes. Kristen Hills spent the better part of a decade with severe dental problems. There were many days when she could only eat soft foods, such as Jell-O and mashed potatoes… To read more of Kristen’s story, click here.

Who is Eligible for Services?

***IMPORTANT: iBudget Funds to pay for Dental Treatment, Medicaid Managed Care Dental Plan, and/or Private Dental Care Insurance benefits (if applicable) should first be used towards Dental Treatment.

Individuals served by the Agency for Persons with Disabilities (APD) through the Home and Community-Based Waiver:

  1. Individuals on the Medicaid Individual Budgeting Waiver (iBudget Waiver)
  2. Individuals on the Medicaid Individual Budgeting Waiver Wait List (iBudget Wait List)
  3. Individuals who participate in Consumer-Directed Care Plus (CDC+)

Resources for Parents and Caregivers

How to Help Your Child with ASD Overcome Her Fear of the Dentist and Establish Lifelong Healthy Oral Hygiene Habits


What Services are Covered?

Dental Procedures which may be FUNDED by the Dental Program:

  • Crowns
  • Root Canal
  • Sedation
  • Fillings
  • Extractions
  • Dentures/Partials
  • Permanent Bridges
  • X-rays
  • Cleanings
  • Exams

*Not an All-Inclusive List. All Dental Treatment Procedures are evaluated on a Case-by-Case Basis.


What Services are NOT Covered?

Dental Procedures NOT FUNDED by the Dental Program:

    • Cosmetic Procedures (Implants, Veneers, Botox, etc.)
    • Bone Graft
    • Sealant
    • Temporary Bridges (Maryland, Flipper)
    • Braces (Orthodontics)
    • Bleaching
    • Bonding
    • Periodontal Trays & Supplies
    • TMJ Related Treatments
    • Mouth Guards
    • Dental Hygiene Appliances, Products and Supplies

*Not an All-Inclusive List. All Dental Treatment Procedures are evaluated on a Case-by-Case Basis.


Treatment Plans for $10,000 or above:

New or revised Treatment Plans for $10,000 or above may be subject to review by Consulting Dentists.


How to Apply for The Arc of Florida Dental Services Scholarship?

1. Complete pages 1-4 of the Application: The Arc of Florida Dental Scholarship Application 2019-2020

2. Mail, Fax or Email completed application to:

  • Fax: 850.921.0418
  • Email: dental@arcflorida.org
  • Mail: Attn: Dental Services Scholarship Program
    The Arc of Florida
    2898 Mahan Drive, Suite 1
    Tallahassee, FL 32308

Questions?

  • Phone:  1.855.322.6735 or Email: dental@arcflorida.org
  • Office Hours:  Monday – Friday, 8:30 AM EST – 5:00 PM EST

Frequently Asked Questions:

  1. What is the wait time to hear about the status of an Application?

    Scholarship Applications are processed in chronological order from the date of receipt in office and accordance with our Contract with the Agency for Persons with Disabilities. Hundreds of applications are received each month and it may take longer than 30 days for processing. Completing pages 1-4 of the Application, providing Signatures, submitting Guardianship Documents (if applicable), and attaching a Dental Treatment Plan from your Dentist (if you have one) will speed up processing.

  2. What if I do not have a current Dentist?

    Applicants without current Dentists will receive assistance, from Dental Program Staff, in identifying Program Network Dentists for selection in or near applicants’ homes.

  3. What if there are no Program Network Dentists in or near my home?

    Dental Program Staff will assist applicants in identifying Program Network Dentists for selection or recruit Dentists in other areas as well as inquire about Applicants’ willingness and ability to travel to other areas.

  4. Can I apply to the Dental Program if I have a Medicaid Managed Care Dental Plan, Private Dental Care Insurance, and/or iBudget money to pay for treatment?

    Yes. See below, “Questions regarding the Payor of Last Resort.” Therefore, applicants must first exhaust benefits from all other sources such as, Medicaid Managed Care Dental Plans, Private Dental Care Insurance, and/or iBudget Funds before Arc of Florida Dental Program Funds can be accessed on their behalf.

  5. Can I apply if I need Sedation to complete Dental Treatment?

    Yes. The Dental Program has Network Dentists that perform treatment under all types of Sedation.

  6. What should I do if I received denial from a Medicaid Managed Care Dental Plan, Private Dental Care Insurance, and/or iBudget?

    Complete and submit pages 1-4 of the Application to The Arc of Florida Dental Program. Once your Application is processed, we will contact you.


Dental Resources

The following link will take you to some great resources and short videos.  These videos center around Oral Hygiene, and will help guide parents, caregivers and self-advocates on ideas and strategies to use, as well as give advice on how to help alleviate anxiety, and much more.

https://www.dhsv.org.au/professionals/health-promotion-resources/videos/brushing-up-on-oral-health


Questions regarding the “Payor of Last Resort”

According to federal law, providers are obligated to bill all third party payers before filing a claim with Medicaid.  There are several Federal and State statutes that govern this requirement.  First Section 1902(a)(25) of the Social Security Act requires participating states to:

“Take all reasonable measures to ascertain the legal liability of third parties…to pay for care and services provided to Medicaid recipients.

It is common for Medicaid beneficiaries to have one or more additional sources of coverage for health care services. Third Party Liability (TPL) refers to the legal obligation of third parties (e.g., certain individuals, entities, insurers, or programs) to pay part or all of the expenditures for medical assistance furnished under a Medicaid state plan. By law, all other available third party resources must meet their legal obligation to pay claims before the Medicaid program pays for the care of an individual eligible for Medicaid. States are required to take all reasonable measures to ascertain the legal liability of third parties to pay for care and services that are available under the Medicaid state plan.

The Arc of Florida Dental Services Scholarship Program does not have “legal liability” or an obligation to provide dental services to any particular individual.  However, the I-Budget Medicaid Waiver has to provide medically necessary services to specific individuals and in fact lists dental services as one of the covered services under the waiver.

While The Arc of Florida is proud to receive funding to provide much needed dental services to Floridians on the I-Budget Waiver and waitlist, this program does not have a legal obligation to a
particular Medicaid recipient and therefore, The Arc of Florida Dental Services Scholarship Program does not replace I-Budget Medicaid Waiver funding for dental.

Actual Contract Language states:

3. Clients to Be Served

a. General Description

The population receiving services funded by this Contract are the Agency’s clients with developmental and/or intellectual disabilities residing in Florida.  The clients to be served shall be children or adults with intellectual and/or developmental disabilities throughout the State who receive services through the DD Waiver whose iBudget cost plan do not include adequate or any funding for comprehensive of preventive dental care, or do not have access to a DD Waiver dentist.  The clients to be served shall also include children or adults who receive services through the Waitlist who have comprehensive and/or preventive dental care needs.