Budget bill could cap Medicaid payments for adult dental services

Dr. Scott Miller knows exactly what it costs to fit a patient with dentures, place a crown or extract a tooth. A standard, non-surgical extraction costs $92.39.

Recently, Miller treated a patient who needed 23 teeth removed. The extractions alone would cost more than $2,000. The patient also needed dentures.

Under a line item in Gov. Glenn Youngkin’s final budget proposal, that patient would not be able to complete the full treatment plan in a single year.

Language in the former governor’s proposed budget, introduced in December, imposes a $2,000 annual spending limit on dental services for adults enrolled in Medicaid. Currently, there is no cap for Medicaid dental services.

When a patient reaches the $2,000 threshold, Virginia Medicaid would stop covering additional dental care until the benefit renews the following year. Patients would either have to pay out of pocket or delay care.

Source: Budget bill could cap Medicaid payments for adult dental services / Cardinal News

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