This bill amends Florida Statutes to enhance Medicaid coverage for dental services, specifically targeting adult dental care and establishing a prepaid dental health program for both children and adults. The bill revises the optional adult dental services covered by Medicaid, specifying that the Agency for Health Care Administration (AHCA) will reimburse providers at a rate equivalent to 80% of the 50th percentile of the 2024 Usual, Customary, and Reasonable fees, effective July 1, 2025. The bill also mandates that the AHCA implement any necessary state plan amendments and seek federal waivers to facilitate these changes.

Additionally, the bill introduces a statewide Medicaid prepaid dental health program that will offer a choice of at least two licensed dental managed care providers. The minimum benefits for recipients under 21 will include comprehensive dental services as defined by federal law, while those 21 and older will receive a range of services aimed at promoting oral health and treating emergency conditions. The bill removes previous language that limited the scope of dental services and emphasizes the importance of preventive care and treatment for both children and adults under the Medicaid program. The effective date for these changes is set for July 1, 2025.

Statutes affected:
S 1048 Filed: 409.906, 409.973