Dental Coverage Through Medicaid Managed Care vs Fee-for-Service

Key Points

• The aim is to understand the design and delivery of dental benefits in Medicaid managed care versus fee-for-service programs.
• Analyzed the evolution of dental benefits in managed care organizations (MCOs) over time.
• Examined inconsistencies in the alignment of MCO benefits with fee-for-service (FFS) programs.
• Reviewed recent legislative changes impacting federal funding for state programs.
• MCO dental benefits have expanded in scope and generosity over time.
• Alignment with FFS programs varies significantly, leading to inconsistencies in coverage.
• Legislative changes may challenge equitable access to dental care for beneficiaries.