Association‌ of‌ State‌ &‌ Territorial‌ Dental‌ Directors
3858‌ Cashill Blvd.,‌ Reno,‌ NV‌ ‌89509
Phone‌ 775-626-5008‌‌

Dental Public Health Activities: Descriptive Summaries

Indiana's Medicaid Dental Program- Archived Summary

Practice Number: 17002
Submitted By: Oral Health Division, Indiana State Department of Health
Submission Date: June 2002
Last Reviewed: June 2011
Last Updated: June 2011
Best Practice Approach Example Reforms in Indiana's Medicaid Dental Program
 

Dental benefits are available to all enrolled members in Indiana’s Medicaid dental program.  Services are provided by enrolled providers.  The following are covered dental services under the Indiana Medicaid program, some with restrictions and limitations: evaluations, radiographs, prophylaxis, topical fluoride for recipients twenty (20) years of age and younger, sealant for permanent molars and premolars for recipients twenty (20) years of age and younger, amalgam, unilateral and bilateral space maintainers for recipients twenty (20) years of age and younger, resin anteriors and posteriors, recement crowns, steel crown primary, stainless steel crown permanent, therapeutic pulpotomy, extractions, oral biopsies, alveoplasty, excision of lesions, excision of benign tumor, odontogenic cyst removal, nonodontogenic cyst removal, incise and drain abscess, fracture simple stabilize, compound fracture of the mandible, compound fracture of the maxilla, repair of wounds, suturing, emergency treatment dental pain, analgesia for recipients twenty (20) years of age and younger, drugs and medicaments, periodontal surgery limited to drug-induced periodontal hyperplasia, other dental services as medically necessary to treat recipients eligible for the EPSDT program, periodontal root planing and scaling, general anesthesia, intravenous (IV) sedation covered only for oral surgical services, dentures and partials, orthodontic services for recipients twenty (20) years of age and under only.

On March 1, 2003, a cap was implemented that limited members age 21 and older to $600 dental services per calendar year.  Services that were performed in the dentist’s office were applied to the cap.  On January 1, 2011, the cap was increased to $1,000 and included all covered dental services, including all emergency dental services.

Lessons Learned:

It is important to maintain open lines of communication between the Indiana State Department of Health, practicing dentists, and Medicaid in order that all parties have an opportunity to express their points of view, especially during stressful economic times.

Contact Person(s) for Inquiries:

James R. Miller, DDS, MSD, PhD, State Oral Health Director, Indiana State Department of Health, 2 N. Meridian Street, Section 7-G, Indianapolis, IN 46204, Phone: 317-233-7427, Fax: 317-233-7001, Email: Jamiller1@isdh.IN.gov  

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