Bill > S1048

This bill expands and standardizes dental coverage for Medicaid recipients in Florida by establishing comprehensive dental services for both children and adults. Specifically, the bill requires the Agency for Health Care Administration to implement a statewide Medicaid prepaid dental health program that offers at least two dental managed care providers. For recipients under 21, the program must include all Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) services as defined by federal law. For adults 21 and older, the program will cover a wide range of dental services including preventive care (like cleanings and exams), basic services (such as fillings and extractions), major services (like root canals and dentures), and emergency dental care. Effective July 1, 2025, the agency will reimburse dental providers at a rate equivalent to 80 percent of the 50th percentile of 2024 Usual, Customary, and Reasonable fees, as determined by the American Dental Association. The bill aims to improve oral health access for Medicaid recipients by expanding covered services and establishing consistent reimbursement rates, with restrictions on mobile dental unit reimbursements and a focus on necessary medical services.

https://www.flsenate.gov/Session/Bill/2025/1048