This bill amends Florida's Medicaid coverage for dental services, specifically revising the optional adult dental services covered under the program. It mandates that the Agency for Health Care Administration (AHCA) reimburse providers of Medicaid-covered adult dental services at a rate equivalent to 80 percent of the 50th percentile of the 2024 Usual, Customary, and Reasonable fees, as determined by the American Dental Association. The bill also requires the AHCA to implement any necessary state plan amendments and seek federal waivers to facilitate these changes. Additionally, it establishes a statewide Medicaid prepaid dental health program for both children and adults, specifying minimum benefits that must be provided under this program.

The bill outlines the specific dental services that will be covered, including routine diagnostic and preventive care, basic and major dental services, and emergency dental care. It also emphasizes that the minimum benefits for recipients under 21 years of age must align with the early and periodic screening, diagnosis, and treatment services defined in federal law. The effective date for these changes is set for July 1, 2025. Overall, the bill aims to enhance dental care access and coverage for Medicaid recipients in Florida.

Statutes affected:
S 1048 Filed: 409.906, 409.973