Dental
What We Do
Oklahoma Medicaid pays for preventative, diagnostic, and restorative services for eligible patients under the age of 21. Some limited exams, limited x-rays, and emergency extractions are covered for eligible recipients age 21 and over.
Dental Periodicity Schedule
The Oklahoma Health Care Authority Dental Advisory Committee on Periodicity (DACP) intends this guideline to help practitioners make clinical decisions concerning preventive oral health care for infants, children, and adolescents. Because each child is unique, these recommendations are designed for the care of children who have no contributory medical conditions and who are developing normally. These recommendations will need to be modified for children with special health care needs or if disease or trauma manifests variations from the normal. The AAPD and DACP emphasizes the importance of very early professional intervention and the continuity of care based on the individualized needs of the child.
Radiographs
Please note the guidelines from the American Dental Association and the Food and Drug Administration regarding Radiographs.
Services for Waiver Members with Developmental Disabilities
Effective immediately, dental benefits for adult SoonerCare members served through the In-Home Supports Waiver or Community Waiver are expanded. Adults with developmental disabilities served in these waivers are evaluated by their case managers for initial services such as a general exam, cleaning and x-rays. Requests for additional treatment may now be directed to the case manager to include up to $1,000 in services such as fillings and root canals in the plan of care year. All services must be prior authorized by the case manager. The Oklahoma Department of Human Services Developmental Disabilities Services Division has prepared information packets about the expanded benefits to distribute to interested dental providers. Packets are available upon request from the local DDSD nurse or Julie Chadwick at the state office, 405-521-2237.
Claim Tools
Fee Schedules
Forms
Prior Authorizations
Perinatal Dental