Dental Program FAQ

Frequently Asked Questions About the Dental Program

What services are funded by the Dental Program?
• Oral Cancer Screening (excluding tests over $100.00)
• Crowns
• Root Canal
• Sedation
• Fluoride (once per contract year)
• Fillings
• Extractions
• Dentures/Partials
• Bridges
• X-rays (excluding CT i.e. Cone Beam)
• Cleanings (not continual within a contract year)
• Exams/Consultations
• Behavior Management
Disclaimer: Not an All-Inclusive List. All Dental Treatment Procedures are evaluated on a Case-by-Case Basis.

What services are not funded by the Dental Program?
• Implants, associated parts, or procedures to prepare for installation
• Veneers
• Sealant
• Braces/Aligners (Orthodontics)
• Bone Grafts/Alveoplasty/Gingivectomy/Gingival Flap
• Bleaching
• Bonding
• Periodontal Trays & Supplies
• TMJ Related Treatments (i.e. Botox)
• Mouth Guards (usually covered under Healthcare Plans) • Oral Health Education • Laser Therapy • Gingival Irrigation
• Atridox/Antimicrobial Agent
• Local Anesthesia (Novocaine/Benzocaine/Lidocaine, Desensitive Medicament)
• Chlorhexidine Gluconate Mouthwash (usually covered under Healthcare Plans by prescription)
• Other Drugs and Medicaments (usually covered under Healthcare Plans by prescription)
• Dental Hygiene Appliances, Products and Supplies
Disclaimer: Not an All-Inclusive List. All Dental Treatment Procedures are evaluated on a Case-by-Case Basis.
*Treatment Plans are subject to review by The Arc of Florida Dental Program’s Consultation Dentists. Recommendations made by those dentists regarding services to be funded establish the final determination for approval.

How does the Dental Program work? A completed Application Packet is verified, processed, and reviewed. Once a decision has been made regarding if funding or how much funding can be provided, the Approval Form is sent to the Dentist and the Primary Contact or Waiver Support Coordinator listed on the application will be notified of the decision. Dental Services approved by The Arc of Florida Dental Program are contingent upon the availability of State Funding. The Program funds current not future treatment. Based on the amount and cost of treatment, all of it may not be funded within a Fiscal Year. Funding for Phased Treatment (treatment broken down and prioritized by Dentists due to high cost) does not guarantee continual funding in any subsequent Fiscal Year. Funding for Full Mouth Extractions does not guarantee funding for Teeth Replacement Appliances. Applicants requesting funds for Teeth Replacement Appliances (i.e., Dentures, Partials, Bridges) must first seek funding through their Dental Insurance/ Medicaid Managed Care Dental Plans (if enrolled). The Arc of Florida is not liable and payment will not be rendered for costs, procedures, and/or services that have not been previously approved by our office and/or exceed the approved amount stated on the Approval Form (sent to Dentists).

What if there are no Program Network Dentists near my home? Eligible applicants should select Program Network Dentists in other counties outside of applicants’ counties of residence. For applicants needing IV/Deep/Hospital Sedation, their willingness and ability to travel to other counties aid in acquiring dental treatment.


What if I need Sedation to have Dental Treatment? The Dental Program pays for all types of Sedation (Oral, Gas, IV, Deep, Hospital) and has Network Dentists that perform treatment under those types of Sedation.


Can I apply to the Dental Program if I have a Medicaid Managed Care Dental Plan and/or Dental Insurance to pay for treatment? Yes. Applicants must first use benefits or show denial of benefits from Medicaid Managed Care Dental Plans and/or Dental Insurance before Arc of Florida Dental Program Funds can be accessed (see Information Regarding the “Payor of Last Resort”). Services paid by Medicaid Managed Care Dental Plans are not eligible for co-payment.