July 1, most adult Medicaid members, age 19 and older, in Iowa will be enrolled
in the new Dental Wellness Plan.
the current Medicaid program, those insured in the Dental Wellness Program have
access to core services, including exams and cleaning as well as emergency
services. But the plan incentivizes more complex work, such as root canals and
denture repairs. Those on the plan can earn these services by completing a
recall exam within six to 12 months of their initial exam.
on July 1, all Medicaid enrollees will have access to dental benefits for the
first year under the new Dental Wellness Plan. Medicaid enrollees will be asked
to complete ‘Healthy Behaviors’ which consists of completing both a dental
self-assessment and preventive service. If they complete those healthy
behaviors, benefits will continue in the second year without a copay. However,
if they do not, enrollees will be responsible for paying a monthly premium of
no more than $3 per month.
will be able to declare a hardship and not pay that premium, however, if they
do not complete the healthy behaviors, pay the premium or mark a hardship,
benefits will be more limited, consisting of only emergency dental benefits.