11/01/2007
Ohio Medicaid adult dental benefits to be restored effective Jan. 1, 2008

The following is an overview of changes to Ohio Medicaid adult dental benefits as provided by the Ohio Dept. of Job and Family Services (ODJFS), based on the initial filing of these program rules.

These changes/restorations will be effective Jan. 1, 2008. According to ODJFS, the funds allocated in the new budget, plus the dollars saved by no longer separately reimbursing for additional clasps for partial dentures, allow for a full restoration of the fee and service reductions that occurred in 2006.

Current limited Medicaid adult dental benefits implemented Jan. 1, 2006:

• one annual routine exam and cleaning;
• x-rays;
• fillings;
• simple extractions;
• root canals for anterior teeth;
• dentures services including full and partial dentures;
• anesthesia (general and local).

Adult dental benefits to be restored Jan 1, 2008:

• one additional routine exam and cleaning;
• anterior crowns, posts and related services;
• posterior root canals; and
• complex tooth extractions.

Additional dental program and rule revisions:

• revised dental PA forms;
• revised definition for separate multiple surface restorations on the same tooth;
• eliminated separate reimbursement for additional clasps for partial dentures; and
• restored all fee reductions made in 2006.