Medicaid Adult Dental Coverage Checker

Published 07/29/2022

The Medicaid Adult Dental Coverage Checker is an interactive tool for policymakers, administrators, and advocates to easily understand where a given state’s Medicaid adult dental benefits package falls on a continuum from no dental benefits to extensive benefits, helping them identify areas for improvement and expansion. It looks at coverage of specific procedures and services, including allowed frequency, in eight service categories.

he Coverage Checker displays results that were self-reported by state Medicaid dental directors or their equivalent in a survey conducted in the spring of 2023. The data represent a snapshot in time and are reflective of the benefit package in place as of December 31, 2022. It's important to note that several states have implemented new and expanded benefits for all adults in early 2023, which are not captured in the Checker. 

The survey, known as the Rubric for Assessing Extensiveness of State Medicaid Adult Dental Benefits, was developed in partnership with the American Dental Association Health Policy Institute (ADA HPI), Center for Health Care Strategies (CHCS), National Academy for State Health Policy (NASHP), CareQuest Institute, and advisory committee members.

The data represent a snapshot in time and are reflective of coverage offered by each state at the time of completion. It is important to note that several states have significantly increased their Medicaid adult dental benefit offerings since the survey was completed. 

Visit the Medicaid Adult Dental Coverage Checker Tool