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Dental insurance companies divide benefits, services, or procedures into categories and refer to them with American Dental Association (ADA) 3-4 digit code. As an example, Preventive and Diagnostic procedures often include exams (ADA code 0120), x-rays (ADA code 0210), and basic cleanings or prophylaxis (ADA code 1110).
The reasons for low use are many, but a lack of dental providers who participate in Medicaid is a key factor. [69] [70] Few dentists participate in Medicaid – less than half of all active private dentists in some areas. [71] Cited reasons for not participating are low reimbursement rates, complex forms and burdensome administrative requirements.
In participating states, Medicaid eligibility is expanded; all individuals with income up to 133% of the poverty line qualify for coverage, including adults without dependent children. [43] [50] The law also provides for a 5% "income disregard", making the effective income eligibility limit 138% of the poverty line. [51]
The state's enacted fiscal year 2023 budget contained $8.1 million "to support enhanced rates to Medicaid adult dental providers," said Department of Administration spokesman Derek Gomes.
Growing that roster has proven difficult in part because the state has a shortage of dentists. Medicaid reimburses providers less than commercial insurance, and some providers are apprehensive ...
Florida's Medicaid call center is experiencing long wait times and high rates of disconnection that could be preventing families from renewing or accessing healthcare coverage, according to a ...
If your monthly income exceeds $2,523/month you still can benefit from Medicaid Diversion by setting up an income trust. This is a legal document and it must be done by an attorney [3] In 2021 there was a waiting list of over 22,000 people for this waiver. [4] Some of the people on the waiting list receive services from the FSL waiver.
Of the 1.9 million people in Florida who lost Medicaid coverage, according to KFF, patient advocates estimate that thousands of disabled people like Eakin have been affected.