Understanding Your Coverage With a Marrero Medicaid Dentist
Medicaid plays an important role in the long-term dental health of many Louisiana families. While the state is required to provide dental benefits to children with coverage, however, your status as an adult may be a bit less clear. Fortunately, the Marrero Medicaid dentist team at Southern Dental Care is prepared to help you navigate your benefits and obligations.
What Do Children Get With Medicaid?
Medicaid coverage for children’s dental services is established by federal policy. Under the Early and Periodic Screening, Diagnostic and Treatment benefit, or EPSDT, your children are entitled to receive:
- Regular dental examinations performed by dentists,
- Pain and infection relief,
- Teeth restoration
- Ongoing dental health maintenance
Medicaid recipients who are under the age of 21 are eligible for EPSDT dental care. Eligibility gets revoked for anyone who receives Individual Family Support waiver services, but when these services are exhausted, you regain eligibility.
Medicaid recipients who are older than 21 with disabilities or over the age of 65 need to apply for Long Term–Personal Care Services, or LT–PCS. Dental benefits for children covered in LaCHIP programs won’t necessarily cancel out their EPSDT eligibility. To be LaCHIP eligible, however, your child must be an uninsured individual below the age of 19, and your household has to fall below the state income limits.
Which Provider Should You Choose?
Finding a dental provider is about more than just picking a reputable Louisiana clinic. Your dentist also has to fulfill specific legal requirements to become a Medicaid practitioner.
Depending on your coverage status and the nature of the dental treatments that you or your loved ones require, Medicaid may not completely pay for care costs. To maximize the amount of compensation you’re eligible to receive in each case, your provider needs to be diligent about filing, tracking and substantiating claims.
It pays to work with an experienced practitioner who understands the nuances of the Medicaid coverage system. Your dentist should be fully invested in helping you minimize the burdens of oral care.
Questions You Should Ask Your Medicaid Dentist
Your own actions and life choices impact what you ultimately pay for effective dental care. Fortunately, you can clear things up and make smarter decisions by asking your dentist the following important questions.
How Often Should I Get a Checkup?
The American Dental Association says that adults ought to visit dentists at least once yearly. Your oral health condition may demand a different schedule. Talking to your dentist about what’s medically necessary and justifiable under Medicaid can help you establish better habits.
When Do I Need Services Like X-rays?
Dental X-rays help practitioners uncover problems and changes that might not be visible to the naked eye. The frequency of your imaging sessions will vary with your oral health.
When Should My Kids Start Going to the Dentist?
According to the American Academy of Pediatric Dentistry, the best time to begin clinical oral examinations for children is usually when their first tooth shows up. If this hasn’t occurred by the time they’ve reached 12 months old, they should be seen by a dentist anyway. As a general rule, most children ought to receive consultations every six months.
How Can My Family Practice Good Oral Hygiene?
No matter whether you have Medicaid or the most comprehensive private insurance in the world, daily oral hygiene is vital. Talk to your practitioner about the best preventative practices.
Of course, these questions are just the tip of the iceberg. You’re certain to have other issues to discuss with your Medicaid dentist, and the sooner you start the conversation, the better off you’ll be. Discover more by contacting Southern Dental Care today.