Dental Services Program

**Dental Applications Closed for this Year**

The Arc of Florida is no longer accepting applications for dental services for the current contract year.

Applications received after January 4, 2017 will not be kept by The Arc of Florida. Any applications received after this date, also, will not be used for funding requests for the next contract cycle. Please do not send an application before June 2017.

Individuals seeking funding for dental services for the next funding cycle, beginning July 1, 2017, will need to fill out an application at that time. The application for the next contract year funding (July 2017 – June 2018), will be made available on our website beginning this coming June 2017.


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 Jello and mashed potatoes… To read more of Kristen’s story, click here.


Who is Eligible for Services?

Funding in your APD cost plan for dental MUST be used first.

  • Individuals on the Medicaid I-Budget Waiver
  • Individuals on the Medicaid I-Budget Waitlist
  • Individuals who are CDC (Consumer Directed Care) Clients

These programs are managed by the Agency for Persons with Disabilities (APD) through the Home & Community Based Waiver.


What Services are Covered?

  • X-ray
  • Floride Treatment
  • Root Canal
  • Crown
  • Sedation
  • Cleanings
  • Fillings
  • Extraction
  • Dentures

*Not a complete comprehensive list.


What Services are NOT Covered?

  • Cosmetic Procedures
  • Braces (Orthodontics)
  • Bleaching
  • Bonding
  • Periodontal Trays & Supplies
  • TMJ Related Treatments

*Not a complete comprehensive list.


How Do I Apply?

1. Fill out the application:

** Dental Applications are closed until further notice **

2. Mail, Fax or Email completed application to:  ***WE ARE NO LONGER ACCEPTING ANY APPLICATIONS AT THIS TIME.***  

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

How Long May I Have to Wait?

Services are handled on a first come, first served basis, after review of treatment plan or until funding is exhausted.  We receive hundreds of applications each month and will make contact with you just as soon as we are able to.


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 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 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.