Dental Program

The Alabama Medicaid Dental Program covers certain routine preventive and restorative services for children under the age of 21 who have full Medicaid eligibility. Also, effective October 1, 2022, Alabama Medicaid began reimbursing for dental services rendered to pregnant recipients who are ages 21 and older during pregnancy, and during postpartum in accordance with 42 CFR § 440.210(a)(3), when the services are rendered by Alabama Medicaid-enrolled dental providers. See more information about Dental Coverage for Pregnant Recipients below.

Dentists with any questions about the Alabama Medicaid Dental Program, or for assistance in resolving claims issues or policy questions, should call 334-242-5582.
 

• Overview of Medicaid Dental Program  
• Find an Alabama Medicaid Dental Provider
• Dental Task Force
• 1st Look Program - Collaboration between pediatric dentists and pediatricians to reduce early childhood caries
• Did You Know? - Information about how the Medicaid 1st Look dental program works
• Alabama Medicaid Dental Statistics FY 2015-2020 - Updated 9/8/21
• Alabama Medicaid Dental Statistics FY 2021-2023 - Updated 5/17/24 

Information for Dental Providers

• Administrative Code - Chapter 15
• Provider Manual - Chapter 13 - Dentist
• Orthodontic Services Fact Sheet
• Fee Schedule

Dental Forms for Providers

• Dental Forms  

Includes information on denials, reasons for recoupments, where to find information in the Medicaid Provider Billing Manual, free tools and contacts for providers to use in preventing fraud and abuse.

• Checklist for Dentists
• Checklist for Oral Surgeons

• Educational Material for Patients

• Come Aboard as a Medicaid Dental Provider - Steps to Enrolling, plus FAQs   
• Provider Enrollment and Online Application Form

•  FAQs: Medicaid Dental Coverage for Pregnant Adult Recipients - Effective 10/1/22
•  Postpartum Extension, Dental Coverage, and other Updates Presentation - 9/22/22