Access to Dental Care in Medicaid: Spotlight on Nonelderly Adults
| Table 1: Oral Health Access in the States – Selected Measures | |||||
| Medicaid Income Eligibility Limits for Adults (as % of FPL): 1 | |||||
| State | Parents (in a family of three) | Childless Adults | Percent of Adults** ≤138% FPL Reporting “Poor” Condition of Mouth/Teeth, 20152 |
Scope of Medicaid Adult Dental Benefits3 | Percent of Medicaid Children who received preventive dental visit in 20134 |
| Medicaid Expansion States: | |||||
| Alaska | 143% | 138% | 14% | Extensive | 42% |
| Arizona | 138% | 138% | 25% | None | 46% |
| Arkansas | 138% | 138% | 32% | Limited | 50% |
| California | 138% | 138% | 20% | Extensive | 37% |
| Colorado | 138% | 138% | 10% | Limited | 51% |
| Connecticut | 155% | 138% | 14% | Extensive | 60% |
| Delaware | 138% | 138% | 19% | None | 46% |
| DC | 221% | 215% | 6% | Limited | 50% |
| Hawaii | 138% | 138% | 12% | Emergency-Only | 44% |
| Illinois | 138% | 138% | 20% | Limited | 52% |
| Indiana | 139% | 139% | 20% | Limited | 38% |
| Iowa | 138% | 138% | 9% | Extensive | 50% |
| Kentucky | 138% | 138% | 21% | Limited | 43% |
| Louisiana* | 138% | 138% | 27% | Limited | 48% |
| Maryland | 138% | 138% | 18% | Emergency-Only | 53% |
| Massachusetts | 138% | 138% | 15% | Extensive | 54% |
| Michigan | 138% | 138% | 20% | Limited | 40% |
| Minnesota | 138% | 138% | 17% | Limited | 38% |
| Montana | 138% | 138% | 21% | Limited | 48% |
| Nevada | 138% | 138% | 13% | Emergency-Only | 45% |
| New Hampshire | 138% | 138% | 17% | Emergency-Only | 56% |
| New Jersey | 138% | 138% | 15% | Extensive | 47% |
| New Mexico | 138% | 138% | 17% | Extensive | 51% |
| New York | 138% | 138% | 12% | Extensive | 41% |
| North Dakota | 138% | 138% | 14% | Extensive | 29% |
| Ohio | 138% | 138% | 9% | Extensive | 21% |
| Oregon | 138% | 138% | 20% | Extensive | 40% |
| Pennsylvania | 138% | 138% | 20% | Limited | 40% |
| Rhode Island | 138% | 138% | 15% | Extensive | 41% |
| Vermont | 138% | 138% | 19% | Limited | 59% |
| Washington | 138% | 138% | 18% | Extensive | 55% |
| West Virginia | 138% | 138% | 27% | Emergency-Only | 46% |
| Non-Expansion States | |||||
| Alabama | 18% | 0% | 19% | None | 52% |
| Florida | 34% | 0% | 26% | Emergency-Only | NR |
| Georgia | 37% | 0% | 24% | Emergency-Only | 50% |
| Idaho | 26% | 0% | 14% | Emergency-Only | 56% |
| Kansas | 38% | 0% | 21% | Limited | 46% |
| Maine | 105% | 0% | 21% | Emergency-Only | 40% |
| Mississippi | 27% | 0% | 20% | Emergency-Only | 48% |
| Missouri | 22% | 0% | 25% | Limited | NR |
| Nebraska | 63% | 0% | 13% | Limited | 52% |
| North Carolina | 44% | 0% | 15% | Extensive | 49% |
| Oklahoma | 44% | 0% | 18% | Emergency-Only | 47% |
| South Carolina | 67% | 0% | 21% | Limited | 51% |
| South Dakota | 52% | 0% | 18% | Limited | 41% |
| Tennessee | 101% | 0% | 16% | None | 49% |
| Texas | 18% | 0% | 24% | Emergency-Only | 53% |
| Utah | 45% | 0% | 13% | Emergency-Only | 52% |
| Virginia | 39% | 0% | 28% | Limited | 48% |
| Wisconsin | 100% | 100% | 21% | Extensive | 25% |
| Wyoming | 57% | 0% | 20% | Limited | 41% |
| US | 138% (median) | 138% (median) | 19% | NA | 48% (median) |
| NOTES: NR- Not Reported * LA’s Governor signed an Executive Order to adopt the Medicaid expansion on 1/12/16, but coverage under the expansion is not yet in effect. For purposes of this analysis, LA is considered an expansion state. **Adults age 18 and older 1: Based on state-reported eligibility levels as of January 1, 2015, collected through a national survey conducted by the Kaiser Commission on Medicaid and the Uninsured with the Georgetown University Center for Children and Families: Modern Era Medicaid: Findings from a 50-State Survey of Eligibility, Enrollment, Renewal, and Cost-Sharing Policies in Medicaid and CHIP as of January 2015, Kaiser Family Foundation, January 20, 2015, https://www.kff.org/medicaid/report/medicaid-and-chip-eligibility-enrollment-renewal-and-cost-sharing-policies-as-of-january-2016-findings-from-a-50-state-survey/. 2: The Oral Health Care System: A State-by-State Analysis, by the ADA Health Policy Institute. http://www.ada.org/en/science-research/health-policy-institute/oral-health-care-system. Fifty-state data provided directly to KCMU by the ADA Health Policy Institute. 3: Medicaid Adult Dental Benefits: An Overview, Feb. 2016, Center for Health Care Strategies, http://www.chcs.org/resource/medicaid-adult-dental-benefits-overview/. 4: Use of Dental Services in Medicaid and CHIP, Jan. 2015, Mathematica analysis of FFY 2013 CMS-416 Reports (annual EPSDT report), https://www.medicaid.gov/medicaid-chip-program-information/by-topics/benefits/downloads/secretarys-report-dental-excerpt.pdf |
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