Editing Medicaid (section)

== Benefits ==
There are two general types of Medicaid coverage. "Community Medicaid" helps people who have little or no medical insurance. Medicaid [[nursing home]] coverage helps pay for the cost of living in a nursing home for those who are eligible; the recipient also pays most of his/her income toward the nursing home costs, usually keeping only $66.00 a month for expenses other than the nursing home.<ref name=":12" />

Some states operate a program known as the [[Health Insurance Premium Payment Program]] (HIPP). This program allows a Medicaid recipient to have private health insurance paid for by Medicaid. As of 2008 relatively few states had premium assistance programs and enrollment was relatively low. Interest in this approach remained high, however.<ref name=":12">{{cite news|url=http://www.kff.org/medicaid/upload/7782.pdf|title=Choosing Premium AssistanceH: What does State experience tell us?|last=Alker|first=Joan|newspaper=KFF |date=2008|publisher=The [[Kaiser Family Foundation]]|name-list-style=vanc}}</ref>

Included in the Social Security program under Medicaid are [[Dentistry|dental services]]. Registration for dental services is optional for people older than 21 years but required for people eligible for Medicaid and younger than 21.<ref name="autogenerated2">{{cite web|url=http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Benefits/Dental-Care.html|title=Dental Coverage Overview|publisher=Medicaid|access-date=December 8, 2011|archive-url=https://web.archive.org/web/20111205140516/http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Benefits/Dental-Care.html|archive-date=December 5, 2011|url-status=dead}}</ref> Minimum services include pain relief, [[Dental restoration|restoration of teeth]] and maintenance for dental health. [[EPSDT|Early and Periodic Screening, Diagnostic and Treatment]] (EPSDT) is a mandatory Medicaid program for children that focuses on prevention, early diagnosis and treatment of medical conditions.<ref name="autogenerated2" /> Oral screenings are not required for EPSDT recipients, and they do not suffice as a direct dental referral. If a condition requiring treatment is discovered during an oral screening, the state is responsible for paying for this service, regardless of whether or not it is covered on that particular Medicaid plan.<ref>{{cite web|url=http://www.cms.hhs.gov/MedicaidDentalCoverage/Downloads/dentalguide.pdf|title=Dental Guide|publisher=HHS|archive-url=https://web.archive.org/web/20111230040607/https://www.cms.gov/MedicaidDentalCoverage/Downloads/dentalguide.pdf|archive-date=2011-12-30|url-status=dead}}</ref>

=== Dental ===
Children enrolled in Medicaid are individually entitled under the law to comprehensive preventive and restorative dental services, but dental care utilization for this population is low. The reasons for low use are many, but a lack of dental providers who participate in Medicaid is a key factor.<ref>{{cite web|url=http://www.cdhp.org/system/files/TrendNotesOctober2009.pdf|title=CDHP.org|website=cdhp.org|access-date=February 10, 2011|archive-url=https://web.archive.org/web/20110725151252/http://www.cdhp.org/system/files/TrendNotesOctober2009.pdf|archive-date=July 25, 2011|url-status=dead}}{{full citation needed|date=April 2019}}{{dead link|date=April 2019}}</ref><ref>U.S. General Accounting Office. Factors Contributing to Low Use of Dental Services by Low-Income Populations. Washington, DC: U.S. General Accounting Office. 2000.</ref> Few dentists participate in Medicaid – less than half of all active private dentists in some areas.<ref>Gehshan S, Hauck P, and Scales J. Increasing dentists' participation in Medicaid and SCHIP. Washington, DC: National Conference of State Legislatures. 2001. [http://ecom.ncsl.org/bookstore/productdetail.htm?prodid=0168000002&catsel=xhlt%3BHealth Ecom.ncsl.org]{{dead link|date=April 2019}}</ref> Cited reasons for not participating are low reimbursement rates, complex forms and burdensome administrative requirements.<ref>Edelstein B. Barriers to Medicaid Dental Care. Washington, DC: Children's Dental Health Project. 2000. [http://www.cdhp.org/resource/barriers_medicaid_dental_care CDHP.org]</ref><ref>Krol D and Wolf JC. Physicians and dentists attitudes toward Medicaid and Medicaid patients: review of the literature. Columbia University. 2009.</ref> In Washington state, a program called Access to Baby and Child Dentistry (ABCD) has helped increase access to dental services by providing dentists higher reimbursements for oral health education and preventive and restorative services for children.<ref>{{cite web|url=https://innovations.ahrq.gov/profiles/medicaid-reimbursement-and-training-enable-primary-care-providers-deliver-preventive-dental|title=Comprehensive Statewide Program Combines Training and Higher Reimbursement for Providers With Outreach and Education for Families, Enhancing Access to Dental Care for Low-Income Children|date=February 27, 2013|publisher=Agency for Healthcare Research and Quality|access-date=May 13, 2013}}</ref><ref>{{cite web|url=https://innovations.ahrq.gov/profiles/comprehensive-statewide-program-combines-training-and-higher-reimbursement-providers|title=Medicaid Reimbursement and Training Enable Primary Care Providers to Deliver Preventive Dental Care at Well-Child Visits, Enhancing Access for Low-Income Children|date=July 17, 2013|publisher=Agency for Healthcare Research and Quality|access-date=August 1, 2013}}</ref> After the passing of the [[Affordable Care Act]], many [[dentistry|dental]] practices began using [[Dental Service Organizations|dental service organizations]] to provide business management and support, allowing practices to minimize costs and pass the saving on to patients currently without adequate dental care.<ref>{{cite web|url=http://theadso.org/about-adso/dso-industry/|title=About DSOs|publisher=Association of Dental Support Organizations|access-date=March 24, 2016|archive-url=https://web.archive.org/web/20160315190004/http://theadso.org/about-adso/dso-industry/|archive-date=March 15, 2016|url-status=dead}}</ref><ref name="pacific">{{cite web|url=https://www.pacificresearch.org/fileadmin/documents/Studies/PDFs/DSOFinal.pdf|title=Benefits Created by Dental Service Organizations|last1=Winegarden|first1=Wayne|publisher=Pacific Research Institute|archive-url=https://web.archive.org/web/20160307070831/https://www.pacificresearch.org/fileadmin/documents/Studies/PDFs/DSOFinal.pdf|archive-date=March 7, 2016|url-status=dead|df=mdy-all}}</ref>