Pagpapanumbalik ng Mga Serbisyo sa Ngipin ng Pang-adulto
Bumalik sa webpage ng Medi-Cal Dental Programa
Pagpapanumbalik ng Mga Serbisyo sa Ngipin ng Pang-adulto
Senate Bill 97 (Chapter 52, Statutes of 2017) fully restored adult optional dental benefits that were not restored in May 2014. This policy is effective January 1, 2018. DHCS is notifying beneficiaries and providers via the notices posted below.
DHCS submitted a State Plan Amendment (SPA 17-027) to the Centers for Medicare and Medicaid Services (CMS) to restore adult optional dental benefits for beneficiaries ages 21 and older with full-scope coverage. Restored benefits will include, for example, laboratory processed crowns, posterior root canal therapy, periodontal services, and partial dentures, including denture adjustments, repairs, and relines. The full dental benefits are listed in the Dental Provider Handbook, Section 5, Manual of Criteria, posted on the Medi-Cal Dental website. These benefits will be available for beneficiaries in both Dental Fee-for-Service and Dental Managed Care delivery systems.
Adult optional dental benefits were eliminated from the Medi-Cal state plan in 2009. In May 2014, pursuant to Assembly Bill 82 (Chapter 23, Statutes of 2013), DHCS partially restored Medi-Cal adult optional dental benefits. The 2014 restored benefits included basic preventive, diagnostic, restorative, anterior tooth endodontic treatment, complete dentures and complete denture reline/repair services.
Mga benepisyong pang-adulto sa ngipin na nananatili at hindi nagbabago bilang resulta ng mga pagpapanumbalik noong 2014 o 2018:
- Mga serbisyong nauugnay sa pagbubuntis
- Mga serbisyong pang-emergency
- Mga serbisyong ibinibigay sa mga residente ng isang Intermediate Care Facility/Skilled Nursing Facility
- Mga serbisyong ibinibigay sa mga mamimili ng Department of Developmental Services
Makipag-ugnayan sa amin
Para sa anumang mga katanungan o alalahanin, mangyaring makipag-ugnayan sa dental@dhcs.ca.gov.
Mga mapagkukunan
- Dental Managed Care: Lahat ng Liham ng Plano 17-009
- Mga SPA 17-027 at 17-041 Tribal Notice (Magtatapos sa Nobyembre 4, 2017)
- SPA 17-027
- Adult Restoration FAQ’s