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Medicaid Update: Transmittal 16-07 - Children's Oral Health Transmittal (2016)

Tuesday, February 16, 2016
All District of Columbia children eligible for the Medicaid program are entitled to receive the Early and Periodic Screening, Diagnostic, and Treatment  (EPSDT) services benefit. EPSDT, also known as the DC HealthCheck, is a mandatory Medicaid benefit that includes preventive and specialty care, such as dental services. Preventive care rendered by EPSDT providers includes oral health assessments for all ages and fluoride varnish application for children under 3 during a well-child visit. Comprehensive oral exams, dental sealants, and dental cleanings are covered by Medicaid as well as any needed diagnostic or treatment  services identified by dental providers.
In celebration of National Children's Dental Health Month, the purpose of this transmittal is to inform dental and EPSDT providers of the state of children's oral health in the District of Columbia, and of Medicaid-covered dental procedures administered in primary care and dental settings.