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Frequently Asked Questions - Adult Dental Benefits

  1. Who can still receive adult dental treatment that Medi-Cal will pay for?
  2. I was being treated by my dentist before I turned 21; will I be able to complete the dental treatment after I turn 21?
  3. I was being treated by my dentist before July 1, 2009; will I be able to complete the dental treatment after July 1, 2009?
  4. Are all adult dental benefits no longer covered by Medi-Cal?

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1. Who can still receive dental treatment that Medi-Cal will pay for?

Answer: Only the following persons will continue to receive dental services:

a. Pregnant women will receive the optional benefit if it is part of their pregnancy-related care or for services to treat a condition that may cause problems in pregnancy.

b. Children or young adults who are 20 years old and younger and receive full scope Medi-Cal.

c. People who live in a licensed nursing home such as a Skilled Nursing Facility (SNF), Intermediate Care Facility (ICF), ICF for the Developmentally Disabled (ICF-DD) and Sub Acute Facility.

d. People needing dental treatment that could have been provided by a physician. 

If you are a patient of a Federally Qualified Health Center or Rural Health Center, Medi-Cal will pay for certain dental services that are required by federal law

If you have questions or for more information on dental services, please contact Denti-Cal. 

Providers may call 1-800- 423-0507. Beneficiaries or their representatives may call 1-800- 322-6384 or you may visit the Denti-Cal website at www.denti-cal.ca.gov

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2. I was being treated by my dentist before I turned 21; will I be able to complete the dental treatment after I turn 21?

Answer: Yes. There are some provisions in the law for completion of treatment.

If you have questions or for more information on dental services, please contact Denti-Cal. 

Providers may call 1-800- 423-0507. Beneficiaries or their representatives may call 1-800- 322-6384 or you may visit the Denti-Cal website at www.denti-cal.ca.gov

Certain dental services that you receive while you are with California Children Services (CCS) such as orthodontia may stop after you reach 21 years old. Make sure that the dental services you are getting from CCS have been completed before you turn 21 years old.

 

3. I was being treated by my dentist before July 1, 2009; will I be able to complete the dental treatment after July 1, 2009?

Answer: Yes. There are some provisions in the law for completion of treatment.

If you have questions or for more information on dental services, please contact Denti-Cal. 

Providers may call 1-800- 423-0507. Beneficiaries or their representatives may call 1-800- 322-6384 or you may visit the Denti-Cal website at www.denti-cal.ca.gov

 

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4. Are all dental benefits no longer covered by Medi-Cal?

Answer: No. If the treatment is on the list of services that could have been provided by a physician, the service may be covered. 

If you have questions or for more information on dental services, please contact Denti-Cal. 

Providers may call 1-800- 423-0507. Beneficiaries or their representatives may call 1-800- 322-6384 or you may visit the Denti-Cal website at www.denti-cal.ca.gov

 

 

Last modified on: 12/29/2009 10:43 AM