Adult Dental care is a benefit for Colorado Medicaid recipients. Adult dental services consist of diagnostic procedures, preventive procedures, restorative procedures, periodontal care, endodontic treatment, removable prosthetic services and oral surgery. Providers must be enrolled with Colorado Medicaid .
Effective July 1, 2019 adult members will now receive up to $1,500 in dental services per state fiscal year which runs from July 1 to June 30.
Medicaid is the primary vehicle for dental coverage among adults with low incomes. While state Medicaid programs are required by federal rules to cover comprehensive dental services for children, coverage for adult dental services is optional.
Health First Colorado (Colorado’s Medicaid Program) is free or low cost public health insurance for Coloradans who qualify. Health First Colorado can cover your doctor visits , emergency care, preventive care such as screenings and immunizations , and other procedures and treatments.
Income & Asset Limits for Eligibility
|2021 Colorado Medicaid Long Term Care Eligibility for Seniors|
|Type of Medicaid||Single||Married (both spouses applying)|
|Medicaid Waivers / Home and Community Based Services||$2,382 / month||$4,764 / month|
|Regular Medicaid / Aged Blind and Disabled||$794 / month||$1,191 / month|
WILL MEDICAID PAY FOR DENTURES ? YES. Medicaid pays for both full and partial dentures when you need dentures to help with a serious health condition or a condition that affects your ability to go to work. Medicaid does NOT replace dentures for at least eight years.
Emergency ambulance service is a component of the Colorado Medicaid Medical Transportation benefit. Emergency ambulance service is available when the client’s condition requires immediate medical attention.
In January 2014, the state restored comprehensive dental benefits for all adults enrolled in the Medicaid program. Drastically reducing the Medicaid adult dental package in 2012, Pennsylvania left most adults in the program with limited benefits primarily covering x-rays, cleanings, fillings, and extractions.
Use your Medicaid coverage If you have Medicaid coverage, it should cover your emergency contraception services and pills.
Many private practices are unable to accept Medicaid patients because the reimbursement rate still lags far behind private insurance. Also, the Medicaid credentialing and claims process is so burdensome that it would require extra dedicated staff just to manage the administrative aspects.
Who’s entitled to free dental care ? aged under 18, or under 19 and in qualifying full-time education. pregnant or have had a baby in the previous 12 months. staying in an NHS hospital and your treatment is carried out by the hospital dentist .
Dental Exams (limited) Dental X-rays (limited) Dentures. These are extra goods or services the dental plans provide to adult and pregnant adult recipients, free of charge: Additional dental exams. Dental screenings. Additional dental X-rays. Teeth Cleanings (basic and deep) Fluoride Sealants. Oral Health Instructions.
Who is eligible for Colorado Medicaid ? Pregnant, or. Be responsible for a child 18 years of age or younger, or. Blind, or. Have a disability or a family member in your household with a disability, or. Be 65 years of age or older.
Did you know that Colorado Access now manages both your behavioral and physical health benefits for Health First Colorado ( Colorado’s Medicaid Program)? We are also the largest CHP+ HMO in the state of Colorado . Need help applying?
The study found that 8 percent of Colorado households meet the federal poverty definition, which for a family of two is around $16,460 and below, regardless of the county.