December 1, 2020

Arkansas is one of six states that currently does not offer state Medicaid Coverage for Adult Dental Benefits. Dental coverage is available 2 ways. Learn more. Medicaid is the primary vehicle for dental coverage among adults with low incomes. For adults: Medicaid will cover up to $500 a year worth of dental services excluding dentures and tooth extractions. Arkansas Free and Sliding Scale Dental Clinics along with Medicaid. Delta Dental of Arkansas Member Connection Through our website, you will find all the tools and resources you need to help manage your dental benefits. Read More, COVID-19 in Arkansas: A Weekly Snapshot, Nov. 21‒29, 2020 There are a plethora of questions surrounding healthcare and especially dental care in the US. Separate, stand-alone dental plans. You have a lack of access to services covered under your plan. Cabun Rural Health Services, Inc. Hampton, AR 71744. For children under age 21: Dental services will be covered for people who get Medicaid, ARKids First-A, and ARKids First-B. If you want to know what services are covered, call your provider or check your plan on your provider’s website. What do I do now? The program has been altered over time and is now called Arkansas Works. Medicaid will cover common dental services like teeth cleanings, x-rays, crowns, and more. Dental coverage is included in some Marketplace health plans. The center is here to … For example, if a family of four has an annual gross income of $40,000 then their out-of-pocket expense can’t be more than $2,000 ($40,000 x .05 = $2,000). It also highlights key challenges related to oral h ealth care access and use for low-income adults, as well as opportunities for states to increase oral health care coverage and access for this population. This means that those who have been subject to the work requirement are no longer required to report work or other activities to keep their health coverage. Copyright © 2020 State of Arkansas. This means that your plan is more likely to pay for the service. If you have been assigned to MCNA Dental, please call 1-844-341-6262. If you are eligible, you will be assigned to a dental carrier, and you will get a welcome packet from your carrier within 10 business days of your plan assignment. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. Unless your child is in ARKids-B, you will not have a co-payment. Read More, 1401 West Capitol We have listed at the bottom of the page all of the cities in Arkansas, where we have located free and sliding scale dental clinics. 62% of Arkansans are DENTALLY uninsured. The purpose of a Coverage Policy is to inform members and their physicians why certain medical procedures may or may not be covered under Arkansas Blue Cross and Blue Shield health plans. These services will be covered by plans from either Delta Dental of Arkansas or Managed Care of North America (MCNA). Division of Aging, Adult, & Behavioral Health Services, Division of Child Care & Early Childhood Education, Division of Developmental Disabilities Services, Division of Provider Services & Quality Assurance, Office of Legislative and Intergovernmental Affairs, Meet the Chief Communications & Community Engagement Officer, Meet the Division of Medical Services Director, PASSE - Provider-Led Arkansas Shared Savings Entity, Proposed Rules Up for Public Comment - DMS, Managed Care of North America, Inc. (MCNA) –. Arkansas dental insurance works in much the same way that medical insurance works. These services will be covered by plans from either Delta Dental of Arkansas or Managed Care of North America (MCNA). , which outlines states’ coverage of dental benefits for adults in Medicaid. With a variety of plans available, you can find basic dental coverage for general dental care or choose coverage for major care, such as dental implants. You can request to change “for cause” anytime for reasons that may include: To find out if you can change your plan or provider “for cause,” call Connect Care at 1-800-322-5580 to make your request. Under the Trump Administration, the state imposed a Medicaid work requirement in June 2018, causing 18,000 enrollees to lose coverage by the end of 2018. Learn about Dental Xtra We’ve gathered and researched the best dental insurance for seniors in Arkansas for you to compare. NOTICE: On March 27th, a federal judge has ruled to block the work requirement in Arkansas. The services covered by Arkansas Medicaid will not necessarily be the same as in other states. All states are required to provide dental care for children that are covered by Medicaid and Children’s Health Insurance Program (CHIP).. The medical director of Arkansas Blue Cross and Blue Shield has established specific coverage policies addressing certain medical procedures or technologies. Read More, ACHI Celebrates 20th Anniversary with Discussion Between Huckabee, Beebe Read More, Pandemic Lesson: Risks to Underfunding Public Health Check your plan booklet or Policy for the specifics of your coverage. Some states only provide emergency dental care services, such as extractions when an infection is present. In the request, please tell us the reason you want to change, and send us any information given to you by the provider showing why you want to change providers or plans. If you don’t have a primary dentist and need help finding one, you can contact Delta Dental or MCNA at the numbers listed below. Here’s a quick overview of how most dental coverage works. COVID-19 in Arkansas: A Weekly Snapshot, Nov. 21‒29, 2020, Affordable Care Act in Arkansas: Policy Decisions & Coverage Impacts, Download Medicaid Adult Dental Program Factsheet, BMI Measurement Resources for School Personnel, © 2019 Arkansas Center for Health Improvement. The topic of Medicare and Medicaid dental coverage causes a lot of confusion for people looking for a way to help pay for dental work. You have a lack of access to providers experienced in helping you. Suite 300 (Victory Building) In early December 2017, all Arkansas Medicaid beneficiaries who are eligible for dental benefits were randomly and evenly assigned to one of the two dental managed care plans. Disability Services Arkansas Works is public health coverage. And if you’re purchasing through the federal marketplace, you cannot buy just a dental plan – you also need to buy (or already have bought) full healthcare coverage from the Marketplace. If you have a dentist but want to know if your dentist is a part of your dental carrier’s network, you can check your carrier’s website. A federal judge has halted the work requirement, and an … If a health plan includes dental, the premium covers both health and dental coverage. Our dental plans and vision plans may also have waiting periods. This field is for validation purposes and should be left unchanged. Frequently Asked Questions I just got coverage with Arkansas Blue Cross and Blue Shield. Seniors need and deserve the best dental coverage. If you have been assigned to Delta Dental, please call 1-866-864-2499. You need several services to be done at the same time and not all of those services are available in the provider’s network; or your primary care dentist thinks having the services done separately would put your health at an unnecessary risk. Your Arkansas Dental Options. The Arkansas Works program helps give eligible Arkansans a better quality of life. And even if you do find low-cost dental care, it can be difficult to find dentists that accept Medicaid or dentists that provide low-income options. If you only have Medicare Part A and/or Medicare Part B, you do not have dental coverage for routine exams, cleanings, fillings, etc. Medicaid will cover common dental services like teeth cleanings, x-rays, crowns, and more. The Marketplace does offer dental insurance plans, but when purchased as a stand-alone policy they are not eligible for federal subsidy tax credits. We serve over 4 million children and adults with the singular mission of improving Annual open enrollment for dental services will be held November 1 – December 15 each year. 23-86-114). Return to list. Medicare Part A (Hospital Insurance) will pay for certain dental services that you get when you're in a hospital. Find Care online or on My Blueprint to find a primary care provider (PCP). This factsheet includes information about the Medicaid Adult Dental Program, including the status of the program at time of publication, the program’s impact on a state level, how it works, and who administers the program. Dental Clinics. Now is the time to start using those benefits! Beginning January 1, 2018, the University of Arkansas System dental plan will be administered by Arkansas Blue Cross and Blue Shield. The links are listed below. Many Medicare Advantage (Part C) plans include dental coverage, but you may need to pay a higher premium. Arkansas Department of Human Services So while you may have 100% coverage or no copayments for checkups and cleanings, your friend who also has a Delta Dental plan may not. You have gotten poor quality of care from the plan or the provider. For additional information on the Arkansas Medicaid Dental Fee for Service program, enrollees can call the assistance line at 501-320-6230. 62% of Arkansans are DENTALLY uninsured. Dental plans can help you plan and budget for the costs of dental care. The Arkansas Medicaid and CHIP programs cover many of the costs of routine dental care. Insurance plans through Arkansas Works cover health services such as wellness checkups, doctor visits, flu shots, and health tests that can help enrollees maintain or improve their health before a … You also don’t need to worry about paying for any services covered by your plan. All Rights Reserved. Dental health is an important part of your overall health. The availability of dental care depends on both age and the state you reside in. [email protected] Coverage for children in ARKids B will have an annual limit equal to five percent (5%) of the family’s annual gross income (the amount before taxes). That means the state and federal government pay for your health insurance from one of three insurance companies that offer qualified health plans. We offer a full suite of dental benefits and services worth smiling about — like our broad-access network of top dentists, orthodontic coverage, maximum rollover benefit and Dental … Delta Dental of Arkansas is a part of Delta Dental Plans Association. Our dental plans and vision plans have exclusions, limitations and terms under which the coverage may be continued in force or discontinued. Enrollees can use a personal AR Medicaid ID Card for various types of life improvement Medicaid coverage. 501-526-2244 Medicare doesn't cover most dental care, dental procedures, or supplies, like cleanings, fillings, tooth extractions, dentures, dental plates, or other dental devices. What dental services does Medicaid cover? Your Medicare coverage does not include oral health coverage, so you’ll pay a small monthly premium. Information on Medicaid confirms that traditional services may include family planning, dental and vision care, prescription drugs, hospitalizations, surgeries and more. Arkansas law requires that every group health insurance policy providing hospital, surgical, or major medical coverage provide that an employee or spouse whose coverage under the policy would otherwise terminate due to termination of employment or a change in marital status may continue coverage for themselves and their eligible dependents for up to 120 days (AR Stat. The premiums shown are samples for your initial plan comparison purposes only. Joseph W. Thompson, MD, MPH We also provide listings for affordable dental clinics including medicaid dental … The University of Arkansas dental plan, administrated by Arkansas Blue Cross Blue Shield, covers basic dental exams, restorative care, cleaning services, preventive dental services, and orthodontics (for children up to age 18).More intensive dental procedures including fillings, extractions, oral surgery, crowns, bridges, partials, implants and fluoride treatments are also covered. Smoking Costs Arkansas Medicaid $795 Million Annually Each plan sent a welcome packet to each member and the members were able to access plan providers starting January 1, 2018 for covered dental services. A Provider Friendly Program for Arkansas MCNA Insurance Company (MCNA) is a leading dental benefit management company committed to providing high quality services to state agencies and managed care organizations for their Medicaid, Medicare, and CHIP members. You qualify based on your family’s income. Dental Xtra. (501) 682-1001, TTY: 1-800-285-1131 or dial 711 for Arkansas Relay Service. We pay for covered dental services if: Medically needed dental services; Done by a Delta Dental Smiles network dentist With Delta Dental Smiles, you have great benefits. Note: Adults living in a Human Development Centers or nursing homes and those enrolled in the Program for All Inclusive Care for the Elderly (PACE) program, will have their services paid for by the Arkansas Medicaid Fee for Service program rather than through a Delta Dental or MCNA plan. Call - (870) 798-4064. Find the right Ambetter from Arkansas Health & Wellness health plan that best fits your budget and health needs by viewing the Ambetter plan and coverage brochures. Arkansas expanded Medicaid by usingMedicaid funds to purchase exchange plans for eligible enrollees. In addition, patients with otherwise healthy smiles utilize basic services most frequently. Preventive Care. Contact a DHS county office near you to apply for Medicaid Dental coverage. This ruling does not affect your current Arkansas Works health insurance coverage. For a specific monthly rate(or "premium"), you are entitled to certain dental benefits, usually including regular checkups, cleanings, x-rays, and certain services required to promote general dental health. Members or dependents with an Arkansas Blue Cross dental insurance plan provided through their employer may qualify for Dental Xtra if they have one of the qualifying conditions. Medicaid pays for preventive dental work in 27 states. Access your plan information and quick start guide with My Blueprint, an online, self-service that gives you 24/7 access to your health plan information. You also have access to great dentists. After that 90 days, you will only be able to change during the annual open enrollment period or “for cause.”. We offer a variety of benefit plans, each with different features. You can see which plans include dental coverage when you compare them. For costs and complete details of coverage, call or write Humana or your Humana insurance agent or … Medicaid dental coverage of basic oral care for adults is more accessible across the country. health care coverage to certain categories of people with low incomes, including children and their parents, pregnant women, the elderly, and individuals with disabilities. If members want to change their assigned plan, please contact 1-800-322-5580. While state Medicaid programs are required by federal rules to cover comprehensive dental services for children, coverage for adult dental services is optional. If you are happy with your plan, you do not have to change, and your coverage will continue with the same dental carrier and with the same benefits you had last year. Families with children who … The plan or provider does not, because of moral or religious objections, cover the services that you need. Arkansas is one of six states that currently does not offer state Medicaid Coverage for Adult Dental Benefits. Health plans that include dental coverage. Two Dental Managed Care carriers manage the Arkansas Medicaid Dental program: You have 90 days from when you are assigned the plan to switch plans or providers. President & CEO Delta Dental for Adults:, Delta Dental for Kids: Find a DHS county office near you. Others may cover partial or complete dentures if it is determined a medical necessity for a patient. If you would like to switch plans during open enrollment, call 1-800-322-5580 Monday through Friday from 8:00 a.m. to 4:30 p.m. Any changes made to your dental coverage during open enrollment this year will go into effect on January 1, 2020. The only time you will have to pay is if you get services not covered by your plan. Arkansas Dental Clinics. To compare plans, you can go to either Delta Dental’s website or MCNA’s website. Make an appointment with your dentist and remember to tell them you have Delta Dental Smiles! Little Rock, AR 72201. If you have a job that offers you a way to get health insurance, that is known as Employer Sponsored Health Insurance, and it is a private insurance system. Dental care for adults is not mandatory, so states provide dental services as an optional benefit. It’s up to you to make sure Medicaid will pay for other dental care if you need it. How Does AR Dental Insurance Work? Sec.

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