Does Nd Medicaid Expansion Cover Dental

Medicaid expansion under the Affordable Care Act (ACA) provides health insurance coverage to low-income adults who were previously ineligible for Medicaid. Whether or not Medicaid expansion covers dental services varies by state. Currently, 39 states and the District of Columbia provide some level of dental coverage under Medicaid expansion. However, the scope of services and eligibility criteria for dental coverage can vary significantly from state to state. For example, some states may only cover basic dental services, such as exams, cleanings, and fillings, while others may cover more comprehensive services, such as root canals, crowns, and dentures. Additionally, some states may limit dental coverage to certain populations, such as children or pregnant women.

Medicaid Dental Benefits in North Dakota

Medicaid is a health insurance program jointly funded by the federal and state governments. It provides health coverage to low-income individuals and families. In North Dakota, Medicaid covers a wide range of dental services for children and adults, including:

  • Exams
  • Cleanings
  • Fillings
  • Extractions
  • Root canals
  • Crowns
  • Bridges
  • Dentures

In addition to these basic services, Medicaid also covers some specialized dental services, such as:

  • Orthodontics
  • Periodontics
  • Endodontics
  • Oral surgery

Medicaid dental benefits vary from state to state. In North Dakota, Medicaid covers a wide range of dental services for children and adults. For more information on Medicaid dental benefits in North Dakota, please visit the North Dakota Department of Human Services website.

Service Covered for Children Covered for Adults
Exams Yes Yes
Cleanings Yes Yes
Fillings Yes Yes
Extractions Yes Yes
Root canals Yes Yes
Crowns Yes Yes
Bridges Yes Yes
Dentures Yes Yes
Orthodontics Yes No
Periodontics Yes No
Endodontics Yes No
Oral surgery Yes No

Eligibility for Dental Coverage Under Medicaid Expansion

Medicaid expansion under the Affordable Care Act (ACA) extended Medicaid coverage to low-income adults in most states, including dental coverage for adults aged 21 and older. However, the scope of dental coverage varies from state to state. Some states provide comprehensive dental benefits, while others offer a limited range of services. In some cases, dental coverage may be available through a separate program or through a managed care plan.

Who Is Eligible for Dental Coverage Under Medicaid Expansion?

  • Adults aged 21 and older who meet the income eligibility criteria for Medicaid
  • Pregnant women and children under the age of 21 are also eligible for dental coverage under Medicaid, regardless of their income.

What Dental Services Are Covered Under Medicaid Expansion?

  • Cleanings and checkups
  • Fillings
  • Extractions
  • Root canals
  • Crowns
  • Bridges
  • Dentures

The specific services covered may vary from state to state. Some states may also cover orthodontic treatment for children and adults.

How to Apply for Dental Coverage Under Medicaid Expansion

  • Contact your state Medicaid agency to learn about the application process.
  • You can also apply for Medicaid online or through the Health Insurance Marketplace.

Once you are approved for Medicaid, you will be issued a Medicaid card. You can use this card to access dental care from any provider who accepts Medicaid.

Table of State Medicaid Dental Coverage

State Dental Coverage
Alabama Limited coverage for adults
Alaska Comprehensive coverage for adults
Arizona No dental coverage for adults
Arkansas Limited coverage for adults
California Comprehensive coverage for adults

Medicaid Expansion and Dental Coverage in North Dakota

The expansion of Medicaid in North Dakota has brought about significant changes in healthcare coverage, including the inclusion of dental benefits. This article aims to provide a comprehensive overview of the dental coverage offered under the expanded Medicaid program in North Dakota.

Services Included in Expanded Medicaid Dental Coverage

  • Preventive Services: These services aim to prevent oral health problems and include regular checkups, cleanings, fluoride treatments, sealants, and X-rays.
  • Diagnostic Services: This includes comprehensive oral examinations, X-rays, and other diagnostic procedures necessary to assess and diagnose oral health conditions.
  • Restorative Services: These services focus on restoring damaged teeth and include fillings, crowns, bridges, inlays, and onlays.
  • Endodontic Services: This includes root canal treatments and procedures aimed at preserving and restoring the health of the tooth’s root.
  • Periodontic Services: These services address gum disease and include deep cleanings, scaling, root planing, and surgical interventions if necessary.
  • Oral Surgery Services: This includes extractions, biopsies, and other surgical procedures related to the mouth, jaws, and associated structures.
  • Emergency Dental Services: These services cover urgent and acute dental needs, such as pain relief, infection control, and treatment of dental injuries.

Exclusions and Limitations

It is important to note that certain dental procedures and services may not be covered under the expanded Medicaid dental coverage. These exclusions and limitations vary depending on the specific Medicaid plan and the patient’s individual circumstances. It is advisable to contact the Medicaid office or the dental provider to determine the specific coverage details.

Some common exclusions and limitations may include:

  • Cosmetic dental procedures
  • Dental implants
  • Orthodontic treatments (braces) for adults
  • Services provided by out-of-network dentists
  • Services that are deemed medically unnecessary

Provider Network

Individuals enrolled in the expanded Medicaid program in North Dakota can access dental care through a network of participating dental providers. The provider network includes dentists, dental clinics, and community health centers that have agreements with the Medicaid program. Patients can choose a dental provider from the network and schedule appointments directly with the provider’s office.

To locate a participating dental provider, individuals can contact the Medicaid office or visit the North Dakota Department of Human Services website.

Accessing Dental Care

To access dental care under the expanded Medicaid program, individuals must be enrolled in Medicaid and eligible for dental coverage. Eligibility is based on income and household size, and individuals can apply for Medicaid through the North Dakota Department of Human Services.

Once enrolled in Medicaid, individuals can schedule appointments with participating dental providers. They should bring their Medicaid ID card and any other required documentation to the appointment.


The expansion of Medicaid in North Dakota has provided access to comprehensive dental coverage for many individuals, helping to improve their overall oral health. The covered services include preventive, diagnostic, restorative, endodontic, periodontal, oral surgery, and emergency dental care. Individuals enrolled in Medicaid should contact the Medicaid office or visit the North Dakota Department of Human Services website for more information about the program and to find a participating dental provider.

Does North Dakota Medicaid Expansion Cover Dental?

North Dakota expanded Medicaid eligibility in 2014. This expansion provided dental coverage to adults aged 19 to 64 with incomes at or below 138% of the federal poverty level (FPL).

Individuals Covered by North Dakota Medicaid Expansion

  • Pregnant women
  • Children under age 19
  • Adults aged 19 to 64 with incomes at or below 138% of the FPL
  • Disabled adults
  • Adults aged 65 and older

Dental coverage for adults aged 19 to 64 is limited to:

  • Emergency services
  • Diagnostic services
  • Preventive services
  • Restorative services
  • Endodontic services
  • Periodontic services
  • Oral surgery services

Access to Dental Care Providers Accepting Medicaid

Access to dental care for Medicaid beneficiaries can be a challenge, including a shortage of dentists who accept Medicaid, long wait times for appointments, and difficulties finding dentists who are located conveniently. Here are some ways to find a dentist who accepts Medicaid:

  • Contact your state’s Medicaid office.
  • Use the Medicaid dental provider directory online.
  • Ask your friends, family, or neighbors for recommendations.
  • Call your local dental society.

If you are having trouble finding a dentist who accepts Medicaid, you can also try the following:

  • Contact a community health center.
  • Look for a dental school that offers reduced-cost or free care.
  • Check with your local health department to see if they offer dental services.

Alright folks, I’ll wrap this up for now. I hope you found the info you were looking for about Medicaid expansion in North Dakota. I know dental coverage can be a confusing topic, so I’m glad we could shed some light on it. Hey, thanks for taking the time to read our article. If you’ve got more questions about Medicaid or anything else health-related, be sure to check out our website or give us a call. And remember, the health info landscape is always changing, so swing by again later for the latest updates. Until next time, keep smiling!