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But Medicare might pay for braces in some rare situations. If your teeth become damaged as a result of an accident or an underlying health condition, orthodontics may be deemed medically necessary.
For example, though eligibility will vary by state many Low-income families who qualify for Medicaid, Children's Health Insurance Plan, or a state-sponsored low-income insurance program may ...
Original Medicare parts A and B do not cover dental or orthodontic treatments such as braces. However, some Medicare Advantage plans might. Learn more.
In the United States, Medicaid is a government program that provides health insurance for adults and children with limited income and resources. The program is partially funded and primarily managed by state governments, which also have wide latitude in determining eligibility and benefits, but the federal government sets baseline standards for state Medicaid programs and provides a ...
The guidelines for calculating the FMAP are outlined in the Social Security Act and they exclusively determine the ratio of matching funds for each state's Medicaid program. Section 2105(b)of the Act stipulate that "Enhanced Federal Medical Assistance Percentages," or Enhanced FMAPs, will be calculated at the same time as the FMAPs.
Under an HCBS waiver, states can use Medicaid funds to provide a broad array of non-medical services (excluding room and board) not otherwise covered by Medicaid, if those services allow recipients to receive care in community and residential settings as an alternative to institutionalization. [1]
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