The full restoration provides an important opportunity to educate California residents, especially Medi-Cal beneficiaries, about the additional dental benefits to ensure that beneficiaries are able to seek needed dental services.
Here are the major dental services available to adults through Medi-Cal, as of January 1, 2018 However, Denti-Cal continues to have a cap of $1,800 for covered services per year, although some services do not count towards the $1,800 cap and additional services can be covered if shown to be medically necessary. Adults with full-scope Medi-Cal can expect to receive a letter in the mail notifying them of these new benefits.
Major services covered as of January 1st, 2018:
- Initial Exam
- Cleaning (prophylaxis)
- Fluoride Treatment
- Prefabricated Crowns (resin & stainless steel only)
- Root Canals in Front Teeth
- Full Dentures
- Full Denture Adjustments & Repairs
- NEW! Laboratory Processed Crowns
- NEW! Root Canals in Back Teeth
- NEW! Partial Dentures
- NEW! Partial Denture Adjustments, Repairs, and Relines
- NEW! Periodontics (Scaling and Root Planing)
While the restored dental coverage will now extend to adults with full scope Medi-Cal, beneficiaries can face an array of barriers to accessing these services. It remains critical to provide culturally and linguistically appropriate education to community members about their benefits. Here is a consumer pamphlet in English and Spanish (and soon available in various other languages) with more information about the restored dental benefits and how to access them.
To learn more, please visit https://www.denti-cal.ca.gov or call 1-800-322-6384.
Carolina Valle, Senior Policy Associate, California Pan-Ethnic Health Network
Marianna Yamamoto, Program Coordinator, Asian Americans Advancing Justice - Los Angeles
Amber Christ, Senior Staff Attorney, Justice in Aging