Comment on Benefit cap set for Medicaid dental plans

Benefit cap set for Medicaid dental plans

Dental benefits for Medicaid members will be capped starting July 1, state officials announced.Iowa Medicaid Enterprises will be accepting public comment through the end of June.This week, the state program announced a benefit limit for adult members enrolled in the Dental Wellness Plan, a plan that allows adult Medicaid members aged 19 and older to receive dental coverage from carriers Delta Dental and MCNA Dental.“The Iowa Department of Human Services is making these changes to ensure the (Dental Wellness Plan) is sustainable long term,” stated the announcement, which was sent in an Iowa Medicaid email newsletter.The new rule — in place for members aged 21 and older, or a total of 301,348 members in Iowa — will put in place a benefit maximum of $1,000 of services per member per fiscal year, which runs July 1, 2018 to June 30, 2019.Children will not be affected by this change.The dental benefits themselves are not changing, said Matt Highland, spokesman for the Department of Human Services, in an email to The Gazette.This limit does not include preventive, diagnostic or emergency dental services, as well as anesthesia in conjunction with oral surgery and fabrication of dentures.

 

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