Dental Insurance and Payment
If you are having an emergency dial 911 and contact your Managed Care Health and/or dental plan.
Clients determined by a dentist to be at serious medical risk for dental procedures and clients with combative behavioral issues shall not be eligible for services under this Program. Clients served under this Program shall maximize the limits of their dental insurance plans prior to accessing any funding by The Arc of Florida Program. We process applications, assist in finding doctors who are part of our network, and review and approve dental treatment plans. There is limited money and clients must utilize their dental insurance before utilizing The Arc of Florida Dental Program. This allows the funds allocated for The Arc of Florida Dental Program to go further by ensuring other funding sources are utilized first.
Florida’s Medicaid’s Covered Services and HCBS Waivers: Dental Services
Excerpt: “Medicaid reimburses for acute emergency dental procedures to alleviate pain or infection, dentures and denture-related procedures for recipients 21 years and older including:
• Comprehensive oral evaluation
• Denture-related procedures
• Full dentures and partial dentures
• Incision and drainage of an abscess
• Radiographs necessary to make a diagnosis
• Problem-focused oral evaluation
This service is part of the minimum covered services for all Managed Medical Assistance plans serving Medicaid enrollees.”
Statewide Medicaid Manager Care: Florida State Medicaid Management
If you feel you need to be reimbursed for funds, you may file a claim: Complaints: Statewide Medicaid Managed Care