Medicaid beneficiaries are eligible to receive managed care dental services when beneficiaries:
• Become pregnant,
• Are enrolled in Medicaid Dental FFS; and
• Are enrolled in a Medicaid Health Plan (MHP).
Beneficiaries enrolled in Healthy Kids Dental and Healthy Michigan Plan are excluded and will continue to receive dental services through their program. The beneficiary’s MHP will administer the managed care dental services through its contracted dental benefit manager.
To receive expanded managed care dental services, beneficiaries must inform their MHP and MDHHS of their pregnancy status. If the beneficiary informs the MHP prior to MDHHS, the benefit will begin when the MHP is informed of the beneficiary’s pregnancy. The benefit begins the first day of the month in which the MHP is made aware of the beneficiary’s pregnancy. Dental services will be provided for the duration of the beneficiary’s pregnancy and three months postpartum. MHPs will provide beneficiary eligibility information to the dental benefit manager. Providers must verify eligibility for managed care dental services with the MHP’s dental benefit manager.