HFS has started to move people into care coordination. There are a variety of “managed care entities,” a general term that will include Coordinated Care Entities (CCEs), Managed Care Community Networks (MCCNs), Managed Care Organizations (MCOs) and Accountable Care Entities (ACEs).
How do I find a dentist?
Members who are enrolled with a CCE or ACE, or those Medicaid enrollees that have not enrolled in a managed care entity, should visit the DentaQuest website or call 1-888-286-2447 for help finding a dentist.
Members enrolled in a MCCN or MCO, will need to contact the number on the back of you managed care membership card. The HFS website has additional information available about Care Coordination.
Dentist Near Me That Accepts Medicaid
Are you looking for a dentist who accepts Medicaid near you? Medicaid helps millions of Americans by providing health coverage for a large list of health services. This list also includes dental services, although not all of them and not in all states. However, Medicaid can still provide a lot of healthcare for people with low incomes, children, pregnant women, elderly adults who have some type of disability, and more.
So, if you’re trying to find a dentist that accepts Medicaid near the area where you live, this article will help you learn how to search and find the perfect one that meets your needs. In addition, you will also learn all the benefits that come with Medicaid, some of the disadvantages, and many more details that you may find useful.
Medicaid Dentist Benefits Coverage
Before rushing in with the belief that all dentists accept Medicaid, it’s important to know that this is simply not the case. Not all dentists accept Medicaid. In addition, Medicaid doesn’t cover every single service the dentist provides. This is one of the main reasons why most dentists don’t accept Medicaid. It simply doesn’t cover enough services and it only pays around half of the amount that most other private insurances pay.
Furthermore, you should also know that the dental services that are covered by a Medicaid dentist depend on the state. Around eighteen states only cover emergency dental services, some states cover absolutely no dental services at all, and there are others that offer a bit more freedom by providing extensive dental Medicaid coverage.
For example, some states offer no adult dental Medicaid coverage at all. On the other hand, states such as Connecticut, California, Illinois, Iowa, and others offer extensive Medicaid coverage. Moving on, some states offer only emergency dental Medicaid for adults. This includes Maine, Nevada, Oklahoma, and more. And lastly, there is another category of Medicaid coverage that offers limited benefits. This includes states like Hawaii, Kansas, Kentucky, and more.
Most of the states that offer extensive dental Medicaid coverage offer between $1000 and $2000 annual coverage for dental care for adults. In some states like New York and North Carolina, there is no spending limit. States that offer limited dental Medicaid are offered around $500 annually for regular dental services. States that include emergency dental Medicaid will receive emergency based dental services only.
Dentists That Accept Medicaid for Dentures Near Me
There is a simple way to find qualified dentists that accept Medicaid for dentures near you. However, before you can start searching, you must first know whether your state includes dental Medicaid that covers dentures. Sadly, not all states offer Medicaid that will pay for your dentures. States like Alaska, Arkansas, Louisiana, Montana, New York, North Carolina, and more will cover both full and partial dentures.
Usually, states that include Limited or Extensive dental Medicaid will pay for your full or partial dentures. On the other hand, states that have no Medicaid or emergency Medicaid are unlikely to cover your dentures. This is because dentures aren’t an emergency procedure such as a painful tooth extraction, an infection, or a similar case.
How to Find a Dentist That Take Medicaid for Adults Near Me?
Finding a dentist that takes Medicaid for adults is actually pretty simple. By doing the research beforehand, you can know whether the dentist you are considering takes Medicaid and what services will be covered. Here’s how to find all of this information.
The first step is to go to Google, or a similar search engine, and type in the following phrase: “dentist that takes Medicaid for adults near me”. Then, hit Enter and see what results are shown at the top of the page. These are usually the best services and the ones everyone recommends using.
Then, what you want to search for is the dentists’ websites and contact information. If the website doesn’t include information about whether or not they take Medicaid, you can simply give them a call and ask. Make sure to ask for information on which of their dental services are covered by Medicaid. However, you can also find this out by searching for which dental Medicaid services are covered in your state. This usually applies for all dentist offices in that state.
Is a Dentist That Accepts Medicaid for Adults Worth It?
Even though there are still many dentists who accept Medicaid for adults, it’s getting harder to find them because of the hassle Medicaid can be. However, Medicaid is still important for many adults, as research has shown that more people are getting access to health and dental care. Conversely, there are a few disadvantages that come with Medicaid as well, especially for the doctors.
- Medicaid can provide financial help for more people to get access to healthcare. Medicaid helps low-income families, elderly people with disabilities, pregnant women, and more.
- There is a financial protection guarantee with Medicaid. Even though it’s not full coverage in most states, you will still get help in covering your costs.
- Accepting Medicaid offers dentists a much larger patient base. This is one of the biggest benefits of Medicaid, as it attracts much more patients which can leave you more profitable even if they don’t pay as much as other private insurances.
- The previous point is also highly beneficial for new practices. Establishing a new practice and accepting Medicaid patients can rapidly grow your business and get the profits rolling.
Disadvantages of Medicaid
- Medicaid reimbursements are much lower than what most other insurers offer. As a result of this, businesses with a too large number of Medicaid patients can suffer financially and see lower profits at the end of the day.
- There is a copay with Medicaid. However, it does not apply to everyone. Medicaid copay applies only for members who are older than 18 and are in the Medical Assistance or General Assistance categories. Those who are in long-term care facilities or other medical institutions aren’t required to pay copays.
- Medicaid is not actually for all low-income families. In other words, not everyone who classifies as a low-income adult can be eligible for Medicaid. Every state has its own guidelines that have to be met and followed. Having said that, it’s worth knowing that you might get denied for Medicaid even if you think that you qualify.
- One of the worst disadvantages of Medicaid, aside from fewer profits, is the administrative overhead. There is a staggering amount of documentation that comes with reimbursing Medicaid patients.
Find a Dentist That Take Medicare and Medicaid Near Me
Finding a dentist that accepts Medicare patients can often prove to be much more difficult than finding Medicaid dentists. Even though Medicaid covers not all dental services, Medicare covers even less. This is because Medicare is more suitable for covering just general health services and not particularly dental services. Below, you can find out some of the most important differences between Medicare and Medicaid.
Differences Between Medicare and Medicaid
Medicare is a federal program that is designed to cover mostly elderly people. This mainly relates to people who are 65 and older. In addition, for these people to qualify for Medicare, they would have to have some sort of disability or difficult medical condition. It’s also important to know that the federal government only provides Medicare Part A and Part B. Private insurance companies provide the other Part C and D.
Medicaid is a state government program. This means that it’s not the same in the entire country and different states have different requirements and guidelines. Medicaid does provide coverage for a few dental services, but this too depends on the state you reside in. Unlike Medicare, Medicaid can cover both children and low-income adults, as well as the elderly with disabilities.
How to Find a Pediatric Dentist That Accepts Medicaid Near Me
Another wonderful benefit that comes with Medicaid is dental coverage for all children enrolled. However, it’s important to know that not all dental services will be covered by Medicaid, even for children. Once again, this depends on the state you’re in and the level of Medicaid that is provided for the ones who qualify.
Even though the services covered by Medicaid can be different from one state to another, usually it’s the same types of dental services. This list often includes standard dental procedures such as carious teeth restoration, tooth infection treatments, and oral health maintenance using oral prophylaxis and sealants.
One more important factor before looking for a pediatric dentist that accepts Medicaid is to ensure that your child is eligible for Medicaid. Of course, you should apply first before taking them to the dentist. So, how do you know if your child is eligible for Medicaid? You can easily check this by going to healthcare.gov. From there, you can check the eligibility and apply if eligible. It’s as simple as that.
Find Oral Surgeons That Accept Medicaid Near Me
There are a couple of things you should know about oral surgeons and Medicaid. This is important before you consider searching for an oral surgeon who accepts Medicaid near you.
First of all, not all fifty states cover dental services, including oral surgeon services, with Medicaid. More than half of the states currently offer extensive dental Medicaid coverage, which often includes costly oral surgeon services. However, there are other states that do provide dental Medicaid but won’t cover oral surgeon service costs. As a result, you will first have to check whether your state covers oral surgeon costs with Medicaid.
Second, you can only start searching for an oral surgeon who accepts Medicaid after you’ve confirmed that your state offers extensive dental Medicaid or at least has included coverage for several oral surgeon services. You can check for eligibility by following the methods we explained above.
And finally, once you’ve confirmed that your state does indeed offer extensive dental Medicaid coverage, you can go on the internet and search for the following phrase: “oral surgeons that accept Medicaid near me”.
This will show you all available oral surgeons in your area that accept Medicaid coverage for at least some of their services.
NC Medicaid Dental Providers
To conclude, you can easily find all available dental Medicaid providers in North Carolina and learn which ones are accepting new patients and which aren’t. Simply click on the link above and you will find a full list of providers categorized by county.
Summary
A few of the key takeaways from this article that you should know include the following:
Not all dentists accept Medicaid. They can choose whether they want to accept it or not. Furthermore, not all states offer Medicaid coverage as well. Some cover only emergency and limited Medicaid benefits while others offer extensive coverage that has no limit on spending or number of services included. So, all you have to do is first, check whether your state offers some type of Medicaid coverage and then check whether you are eligible for Medicaid. After confirming both, simply follow the steps shown above in order to find a dentist near you who accepts Medicaid.
If you are on the hunt for a great dentist in North Carolina, specifically in Durham, Raleigh, or Morrisville, you have come to the right place. We offer a variety of services and flexibility for our patients. Click here to contact us and learn more.