Title 19 (Medicaid) Dental Care
Members who qualified for CMS Health Plan through Florida Medicaid are enrolled in the Title 19 plan. If you do not pay a monthly premium for your child’s health insurance, then your child is enrolled in this plan.
Your child’s Medicaid benefits include dental care coverage. Your child’s dental benefits are not administered by the CMS Health Plan. Once your child has been enrolled in Medicaid, one of the three dental plans below will be assigned to them.
If you have questions or want to change your child’s assigned dental plan, visit Medicaid Managed Care website or call 1-877-711-3662 to talk to a Medicaid Choice Counselor.
What Is Covered under Florida Medicaid?
Dental Care for Children Ages 0-20
Here is a list of services covered by CMS Health Plan that will help your child have healthy teeth:
- Dental Exams
- Dental Screenings
- Dental X-rays
- Teeth Cleanings
- Fluoride
- Sealants
- Oral Health Instructions
- Space Maintainers
- Fillings and Crowns
- Root Canals
- Periodontics
- Prosthodontics
- Orthodontics
- Extractions
- Sedation
- Ambulatory Surgical Center or Hospital-based Dental Services
Some services may require permission from a dental plan before your child’s dentist performs the service. This is called a prior authorization. Services must be medically necessary for dental plans to pay for them. Your child’s dental plan can help you understand what is covered.
Visit the Florida Agency for Health Care Administration for more information about Medicaid dental coverage.