Jane Dotson
Dental care is a basic necessity, and it is important that everyone has access to it. In the past, Medicaid recipients in New Hampshire have not had their dental care covered by insurance. However, recent legislation has changed that. As of April 2023, adults on Medicaid in New Hampshire have access to dental benefits, including diagnostic, preventive, restorative, and oral surgery services. This was made possible by the signing of HB 103 and SB 422 into law by Governor Chris Sununu on July 1, 2022, which selected Northeast Delta Dental, in partnership with DentaQuest, to provide dental services for adults with Medicaid.
| Characteristics | Values |
|---|---|
| Name of Program | New Hampshire Smiles Program |
| Age Group | Adults 21 and older |
| Services Covered | X-rays and examinations, cleanings, fillings, limited gum-related treatment, tooth extractions and other oral surgeries, anesthesia, transportation to dental appointments, support for member oral health through care management, removable partial and full dentures |
| Cost Sharing | 10% of fees for services at each visit for individuals above 100% FPL; limited to 5% of household income |
| Cost Sharing Exemptions | Members receiving services through the DD, ABD, and CFI waivers |
| Dental Service Provider | Northeast Delta Dental, in partnership with DentaQuest and Solvere Health |
| Dental Service Provider Contact | 1-844-583-6151, TTY 800-466-7566 |
| Transportation to Dental Services | Coordinated Transportation Services (CTS) |
| Transportation to Dental Services Contact | 1-844-304-6630 |
Explore related products
What You'll Learn
- Medicaid recipients in NH can receive dental insurance through the New Hampshire Smiles Program
- The program covers children from birth to 20 and adults 21 and older
- Dental services covered include X-rays, cleanings, fillings, and tooth extractions
- Cost sharing is limited to 5% of an individual's household income
- The New Hampshire Smiles Program is provided by Northeast Delta Dental in partnership with DentaQuest
Medicaid recipients in NH can receive dental insurance through the New Hampshire Smiles Program
Medicaid recipients in New Hampshire can receive dental insurance through the New Hampshire Smiles Program. This program provides comprehensive dental coverage to adults with insurance coverage through New Hampshire Medicaid. Adults aged 21 and older with full Medicaid benefits are automatically enrolled in the program and receive an ID card from DentaQuest.
The New Hampshire Smiles Program covers a range of dental services, including x-rays and examinations, cleanings, fillings, limited gum-related treatments, tooth extractions, and other oral surgeries. It also provides coverage for transportation to dental appointments and support for member oral health through care management. Additionally, individuals who qualify for Medicaid under certain waivers and residents of skilled nursing facilities will have coverage for removable partial and full dentures.
The New Hampshire Smiles Program is administered by Northeast Delta Dental, in partnership with DentaQuest and Solvere Health. These organizations work together to provide dental services and manage dental care for Medicaid recipients in the state. To find a participating dentist in your area, individuals can visit DentaQuest.com/newhampshire, select "Find a Dentist," and enter their zip code, city, or town.
The implementation of the New Hampshire Smiles Program is a significant development, as dental care has historically been out of reach for many Medicaid recipients in the state. The program was established through bipartisan legislation signed into law by Governor Chris Sununu on July 1, 2022. It is expected to cost around $30 million in its first full fiscal year, with the federal government contributing over two-thirds of that amount.
Travel Insurance for Egypt: Emergency Medical Coverage Explained
You may want to see also
Explore related products
The program covers children from birth to 20 and adults 21 and older
The New Hampshire Smiles Program provides dental coverage to eligible individuals, including children and adults. The program covers children from birth to 20 and adults 21 and older.
For children, dental benefits are provided through the New Hampshire Smiles Program, which connects them to dental services through Medicaid enrollment. The program covers children from birth to age 20. The New Hampshire Children's Health Insurance Program (CHIP) also provides dental coverage for uninsured children up to 19 years of age and pregnant women with income above the eligibility limits for Medicaid.
For adults, the New Hampshire Smiles Adult Program provides comprehensive dental coverage to those with insurance through New Hampshire Medicaid. Adults aged 21 and older with full Medicaid benefits are automatically enrolled in the program. The program covers services such as X-rays, examinations, cleanings, fillings, limited gum-related treatments, tooth extractions, and other oral surgeries.
The New Hampshire Department of Health and Human Services (DHHS) has partnered with Northeast Delta Dental and DentaQuest to provide dental services for the adult dental benefit. Adults can search for a dentist or dental specialist in their area by visiting the DentaQuest website and selecting "Find a Dentist." Cost-sharing for individuals above the Federal Poverty Level (FPL) is limited to 10% of the fees for services at each visit or 5% of household income.
The expansion of Medicaid dental coverage for adults in New Hampshire is the result of years of advocacy and legislation. On July 1, 2022, Governor Chris Sununu signed a bipartisan law that expanded Medicaid dental benefits for adults over 21, starting in April 2023. The program is expected to cost around $30 million in its first full fiscal year, with the federal government paying for over two-thirds of that amount.
Medical Insurance for Seniors: Cost and Coverage Options
You may want to see also
Explore related products
Dental services covered include X-rays, cleanings, fillings, and tooth extractions
Dental care is important for maintaining good oral health, and it is now more accessible than ever for individuals on Medicaid in New Hampshire. The New Hampshire Smiles Program, administered by the New Hampshire Department of Health and Human Services, provides comprehensive dental coverage to eligible individuals. This program ensures that adults aged 21 and older with full Medicaid benefits can access essential dental services.
Dental services covered under the New Hampshire Smiles Program include X-rays, examinations, and cleanings, which are fundamental for preventive care. X-rays, for example, allow dentists to detect issues such as cavities, tooth decay, or other problems that may not be visible during a regular checkup. Cleanings help remove plaque and tartar buildup, preventing gum disease and promoting overall oral health.
Additionally, the program covers fillings, which are necessary for treating cavities and preventing further tooth decay. Fillings are made of materials like composite resin, porcelain, or silver amalgam, and they help restore the shape and function of a damaged tooth. By covering the cost of fillings, the New Hampshire Smiles Program helps individuals address cavities before they become more severe issues requiring additional treatment.
Finally, tooth extractions are also included in the program's coverage. While tooth extraction may be necessary in cases of severe tooth decay, infection, or impacted wisdom teeth, it is considered a last resort. However, in situations where a tooth is beyond repair or causing significant pain and discomfort, extraction can provide relief and prevent further complications.
These covered dental services, including X-rays, cleanings, fillings, and tooth extractions, empower individuals on Medicaid in New Hampshire to maintain their oral health and avoid more costly emergency treatments. By prioritizing preventive and restorative care, the New Hampshire Smiles Program helps improve access to dental services, ensuring that residents can receive the oral care they need.
Tubal Ligation: Medical Insurance Coverage and What's Included
You may want to see also
Explore related products
Cost sharing is limited to 5% of an individual's household income
The New Hampshire Smiles Program provides dental care for eligible individuals. The Children's Dental Benefit covers children from birth to the age of 20, and the Adult Dental Benefit covers individuals aged 21 and older.
The Adult Dental Benefit is available to adults with full Medicaid benefits, and individuals will be automatically enrolled in the program. Cost sharing is limited to 5% of an individual's household income. However, those above the 100% Federal Poverty Level (FPL) will pay 10% of the fees for services at each visit. This cost sharing is also limited to 5% of household income. There are some exceptions to this cost-sharing, including diagnostic and preventive services, which are free. Additionally, some individuals are exempt from cost-sharing, such as those receiving services through the DD, ABD, and CFI waivers.
The New Hampshire Smiles Program provides comprehensive dental coverage for adults with insurance through New Hampshire Medicaid. Covered services include X-rays, examinations, cleanings, fillings, limited gum-related treatments, tooth extractions, oral surgeries, and other general services like anesthesia. Transportation to dental appointments is also covered, and support for member oral health is provided through care management.
Northeast Delta Dental, in partnership with DentaQuest and Solvere Health, provides dental services for the adult dental benefit.
Blue Cross Blue Shield: Weight Loss Medication Coverage
You may want to see also
Explore related products
The New Hampshire Smiles Program is provided by Northeast Delta Dental in partnership with DentaQuest
The New Hampshire Smiles Program is a dental insurance program for adults on Medicaid in New Hampshire. It provides comprehensive dental coverage to adults with full Medicaid benefits who are aged 21 and over.
The program is provided by Northeast Delta Dental in partnership with DentaQuest. DentaQuest is the dental benefits administrator for Northeast Delta Dental and the New Hampshire Department of Health and Human Services.
Northeast Delta Dental was selected by the New Hampshire Department of Health and Human Services (NH DHHS) to provide dental services for the adult dental benefit. This was the result of the signing of HB 103 and SB 422 into law by Governor Sununu on July 1, 2022, which initiated the contracting process.
Through the New Hampshire Smiles Program, eligible individuals can access dental care services such as X-rays and examinations, cleanings, fillings, limited gum-related treatment, tooth extractions, and other oral surgeries. There is also coverage for transportation to dental appointments and support for member oral health through care management.
To find a dentist or dental specialist that accepts the New Hampshire Smiles Program, individuals can visit the DentaQuest website and enter their zip code, city, or town. A list of providers in their area will be displayed, and individuals can then call any of the listed providers to make an appointment.
Understanding Self-Mutilation Coverage Under Medical Insurance Policies
You may want to see also
Frequently asked questions
You can find a dentist in your area by going to DentaQuest.com/newhampshire. Select 'Find a Dentist' and fill in your zip code, city, or town.
Covered services include X-rays and examinations, cleanings, fillings, limited gum-related treatment, tooth extractions, and other oral surgeries. Coverage is also provided for transportation to dental appointments.
For adults who purchase their own stand-alone dental coverage, premiums in 2025 range from about $13 to $62 per month.
You can be automatically enrolled in the New Hampshire Smiles Adult Program if you are 21 or older and have full Medicaid benefits. You will receive an ID card from DentaQuest.
For individuals above 100% of the Federal Poverty Level (FPL), cost-sharing is 10% of the fees for services at each visit, limited to 5% of household income. Cost-sharing does not apply to diagnostic and preventive services.
