December 2018
New York City Department for the Aging
2 Lafayette Street
New York, New York 10007
www.nyc.gov/aging
Dental Coverage Options
for Older New Yorkers
NYC Department for the Aging, Planning Division, Program Development
2 | P a g e
Dental Coverage Options for Older New Yorkers
Updated December 2018
Cost is a significant barrier to accessing and obtaining quality dental care for nearly 50 percent of older
adults,
i
but oftentimes, the barrier can be mitigated with knowledge of available coverage options.
However, it can be a challenge to find the right coverage when there are many different types of
insurances and discounted or free dental services in the New York City. This brief aims to provide an
overview of the different types and ways to obtain coverage for dental services available to older New
Yorkers.
I. Insurance Options
Traditional Medicare
Almost 3.7 million New Yorkers have health insurance coverage through Medicare a federal
program for adults aged 65 and older. Sixty percent of Medicare recipients have what is known as
traditional Medicare coverage as opposed to Medicare Part C or Medicare Advantage (July 2018).
ii
In general, adults are entitled to Medicare Part A (for hospital/inpatient services) if they have worked
at least 10 years paying Medicare taxes and already receive or are eligible for retirement benefits from
Social Security/Railroad Retirement Board; individuals can also qualify through their spouse’s
Medicare-covered employment or by paying a premium for Part A. In addition, individuals can choose
to pay a monthly premium for Part B (for medical doctor and outpatient services). Despite it being
a primary source of healthcare for older adults, traditional Medicare provides very limited dental care
coverage. Medicare does not cover dental procedures regarding the “care, treatment, filling, removal,
or replacement of teeth or structures directly supporting the teeth(i.e. anesthesia or diagnostic x-
rays) unless they are performed in connection with a covered primary procedure (i.e. fracture of the
jaw or facial bone).
iii
Some examples of covered services include the extraction of teeth to prepare the
jaw for radiation treatment of cancer, a dental examination before renal transplant, or heart valve
replacement. In addition, while the extraction of teeth may result in the need for dentures, Medicare
will not pay for dentures.
Medicare Part C or Medicare Advantage
Approximately 1.4 million New Yorkers
iv
are covered by Medicare Part C, also known as Medicare
Advantage, in lieu of the traditional program, which allows beneficiaries to have their care managed
through private health insurance plans. Medicare Advantage (MA) plans must provide traditional
Medicare A and B services. In addition, many MA plans choose to cover additional healthcare benefits
such as eye exams, hearing exams, or dental services; dental coverage may include oral exams, cleaning,
fluoride treatments, and x-rays at no extra cost. Some plans offer additional comprehensive dental
services, such as extractions and cosmetic procedures, for an additional monthly premium or a rider
service. Prior to a senior taking advantage of a rider service, it is recommended that they obtain a
written advance coverage decision from the plan to ensure a service is medically necessary and will be
covered.
v
(The federal Center for Medicare & Medicaid Services (CMS) recently announced flexibility
in its definition of health-related supplemental benefitsexpanding to include services such as non-
emergency medical transportation, healthy groceries, and hearing-aidswhich may result in MA plans
increasing coverage options to other dental services as well.
vi
,
vii
) For specific plan information, refer to
Appendix II.
NYC Department for the Aging, Planning Division, Program Development
3 | P a g e
Mainstream Medicaid (Fee-for-Service)
viii
,
ix
,
x
Roughly 6.5 million New Yorkers are enrolled in Medicaid, with approximately 32 percent in the
mainstream fee-for-service (FFS) program.
xi
The New York State Medicaid Program which provides
health insurance coverage for low-income individuals, families, children, pregnant women, elderly, and
people with disabilities offers limited coverage of only essential, but not comprehensive, dental care.
Individuals with mainstream Medicaid are not required to pay a premium for their insurance, and do
not have co-pays for services provided at a dentist (e.g., x-rays).
According to New York State regulations (§18 CRR-NY 506.2)
xii
, dental care covered under Medicaid
only includes preventive, prophylactic and other routine dental care, services and supplies, and dental
prosthetic and orthodontic appliances required to alleviate a serious health condition.
Examples of
covered services include emergency care, acute infection, and extraction of infected or non-restorable
teeth. Although services are covered, there is a limit to the number of times a member can receive
the service in a year. Dental prophylaxis and oral exams will be covered once per six month period.
In addition, effective November 12, 2018, dentures may be replaced prior to eight years after initial
placement, and dental implants will be covered, assuming prior approval and supporting
documentation (i.e. letters, x-rays) have been obtained from both the dentist and primary care
physicians to explain the medical necessity.
Medicaid Managed Care (MMC)
xiii
Of the 6.5 million New Yorkers enrolled in Medicaid, about 68 percent are enrolled in Medicaid
Managed Care, which allows beneficiaries to have their care managed through private health insurance
plans such as Healthfirst, Aetna, and Empire BlueCross BlueShield.
xiv
These health plans usually
require enrollees to access care through their own network of providers and often contract with other
vendors (e.g., Healthplex or Dentaquest) to administer their dental benefit. Since 2012, all Medicaid-
covered dental services are also covered by Medicaid managed care programs.
xv
As with regular
Medicaid, there is no monthly premium, although an individual may have a co-pay that is paid directly
to the provider at the time of service. Depending on the plan, some services may require prior
approval and documentation before care can be received.
Table 1. Dental Coverage under Government Insurance Plans
Type of
Insurance
Medicare
Coverage
Description
Dental Services Covered
Traditional
Medicare
Federal insurance program for adults
aged 65 and older covering health
services.
Limited to what is needed for
hospitalization and when it is needed to
treat a non-dental condition.
Medicare
Advantage
Also known as Medicare Part C,
Medicare-covered services are
coordinated by a private health
insurance plan. There are currently 44
different plans offered in New York
City.
Dental coverage and limits vary with
plan.
Mainstream
Medicaid
Federal-state insurance program for the
poor, elderly and disabled.
Covers preventive, routine, and
acute/emergency dental care, with limits.
Medicaid
Managed
Care
Medicaid-covered services are
coordinated by a private health
insurance plan. There are currently 11
different plans offered in New York
City.
Includes all Medicaid-covered dental
services.
NYC Department for the Aging, Planning Division, Program Development
4 | P a g e
Medicaid Managed Long Term Care (MLTC)
xvi
,
xvii
Medicaid Managed Long Term Care (MLTC) plans are specifically designed to meet the needs of
chronically ill and/or disabled individuals who require long term care services and supports (e.g., daily
assistance from a home health aide). In addition to traditional Medicaid services, the plans cover long
term care supports and services. MLTC enrollment is mandatory for residents of NYC who are eligible
for both Medicaid and Medicare (dual eligible), over 21 years old, and need community based long-
term care services for more than 120 days. There are over 220,000 New Yorkers statewide enrolled in
an MLTC plan.
xviii
In order to qualify for enrollment in an MLTC plan, individuals must contact the
Conflict-Free Evaluation and Enrollment Center (CFEEC), which will conduct an evaluation. The
evaluation conducted by a registered nurse determines an individual’s functional status and whether
the need for long-term care is at least 120 days. Evaluations by the CFEEC can be scheduled by
calling the following number: 855.222.8350.
xix
In New York State, there are four types of MLTC plans differing in terms of Medicare, Medicaid, and
dental coverage. Differences in the types of MLTC plans are shown below. For specific plan details,
refer to Appendix I.
xx
Table 2. Managed Long Term Care Plans & Dental Coverage in New York City
Type of
MLTC
Medicare
Coverage
Medicaid
Coverage
Description
Dental Services Covered
% of
MLTC
enrollees
(Nov 2018)
Partial
Capitation
Covers Medicaid long term services
and supports as well as certain medical
services (including dental). Services
not covered under the MLTC plan are
paid for directly by mainstream
Medicaid. Medicare services are not
provided through this plan. Currently
20 plans offered in NYC.
Preventive, prophylactic, and other
dental care such as cleaning, routine
exams, and fillings. Some plans require
prior authorization from the dental
network provider for certain services.
90.88%
Medicaid
Advantage
Plus
Combines Medicare Advantage plans
with a Medicaid MLTC plan under the
same insurance. All health and long
term services and supports are
covered under the same plan.
Currently 8 plans offered in NYC.
Preventive, prophylactic, and other
dental care (i.e. cleaning, routine exams,
and fillings). Some plans require prior
authorization from the dental network
provider for certain services. The
number of times a member can receive a
certain service depends on the plan.
5.24%
Programs
of All-
Inclusive
Care for
the
Elderly
(PACE)
xxi
Covers both Medicare and Medicaid
services under one plan. Recipients
must live in the service area of a
PACE center, need a nursing home-
level of care (as certified by New York
State), and be able to live safely in the
community. Currently 2 PACE
programs offered in NYC.
A care team who determines an
individualized care plan and dental
services deemed necessary will be
covered at the adult day care center and
academic dental clinics.
2.38%
Fully
Integrated
Duals
Advantage
(FIDA)
xxii,
xxiii
Offers full Medicare and Medicaid
coverage, long term care services and
supports, Part D and Medicaid drugs,
and additional benefits under a single,
integrated managed care plan.
Currently 10 health plans offering
FIDA in NYC.
xxiv
Includes diagnostic, restorative,
endodontics/periodontics, extractions,
oral surgery, and other necessary dental
care. Some dental services (i.e. oral
exams) need prior authorization. These
services are provided at the adult day
care center, by the dental network, or at
academic dental clinics.
1.5%
NYC Department for the Aging, Planning Division, Program Development
5 | P a g e
Private Insurance
xxv
,
xxvi
There are multiple ways to purchase private insurance, including online through the New York State
of Health (the state’s official health plan marketplace) or off the Marketplace (with a broker or directly
through the insurance plan). Health plans are available for purchase during the open enrollment
period, which can differ by year. Open enrollment generally begins every November and New York
State has in the past extended the enrollment deadline to end January 31st of the next year. During
the open enrollment period, consumers can call the customer service center at 1-855-355-5777, log
into the website https://nystateofhealth.ny.gov, or meet with an in-person assistor.
xxvii
An in-person
assistor or navigator can help with the application process by “providing assistance in multiple
languages, in community based settings during non-traditional hours such as evenings and weekends.
Consumers have the option of purchasing their dental insurance along with their medical insurance
under the same insurer or purchasing it separately. As of 2018, eight stand-alone dental plans were
offered through the New York State of Health; many of these stand-alone plans often contract with
other health insurance plans to coordinate and administer dental benefits as well. Refer to Appendix
III for additional details.
AIDS Drug Assistance Program (ADAP) Plus
xxviii
,
xxix
The Ryan White HIV/AIDS Program was authorized in 1990 to support uninsured or underinsured
people living with HIV. This federally-funded program serves approximately 52% of HIV-infected
individuals in the United States, and is separated into five parts funding various medical and essential
support services: Part A, Part B, Part C, Part D, and Part F. Part B funds the AIDS Drug Assistance
Program to provide FDA-approved medications, while Part F funds dental programs that aim to
expand access to oral health care to the community. In addition, the NYSDOH AIDS Institute
developed the ADAP Plus program, which “provides free primary care services at selected clinics,
hospital outpatient departments, office-based physicians, and lab vendors”, including dental services.
The eligibility criteria for this program include: New York State residency and HIV-infected status (or
at-risk of HIV infection according to the New York State Guidelines for Pre-Exposure Prophylaxis
xxx
).
Eligible patients must earn less than 435% of the Federal Poverty Level (FPL) and cannot have liquid
assets greater than $25,000. Individuals enrolled in Medicaid are not eligible, although it is available
for individuals awaiting Medicaid eligibility determination or who have Medicaid spenddown
requirements.
Dental services covered under ADAP Plus include dental and oral surgery visits; but they are limited
to thirty per treatment year and only cover limited preventative services (not specified). To learn about
more resources, call the New York State HIV/AIDS Information Hotline 1-800-541-2437 or the New
York State HIV Counseling Hotline 1-800-872-2777.
NYSDOH assembles a list of dental providers who accept ADAP Plus
xxxi
as well as a list of Ryan
White-funded dental clinics for people living with HIV/AIDS
xxxii
, both categorized by region.
NYC Department for the Aging, Planning Division, Program Development
6 | P a g e
II. Discounted or Free Dental Care
Dental Savings Plans
xxxiii
Dental savings or dental discount plans offer members access to a network of dentists at discounted
rates, ranging from 10-60% off of usual pricing with discounts ranging per plan. Members pay a
monthly or annual fee to receive discounts to visit a dentist within the network. Individuals can sign
up to be members of dental savings plans on their own, or can take advantage of them if their private
health insurance plan (e.g., Aetna or Cigna) offers their own dental discount plan directly. These
discount plans are not insurances: there are no fee schedules, “spending caps, exclusions for pre-
existing conditions, or waiting periods”.
xxxiv
That means that costs for dental services are dependent
on the location of the dentist and the office itself. Although there is no copay, members are required
to pay for the services at the time of service unless they have made another arrangement with their
dentist.
Dental Lifeline Network
xxxv
The Dental Lifeline Network provides free, comprehensive dental treatment to patients. Patients are
referred to volunteer dentists who determine the treatment plan. The goal is for the patient to be
pain-free and able to eat properly. To be eligible, applicants must lack adequate income to pay for
dental care and be 65 years or older, have a permanent disability, or qualify as medically fragile. There
is no income limit to receive help: each application will be individually reviewed for financial need.
Currently, there is a long wait list, but applications are accepted within each county and can be found
on the website (https://dentallifeline.org/new-york/) or by calling the following toll free number:
888.235.5826.
Federally Qualified Health Centers
xxxvi
,
xxxvii
,
xxxviii
Federally Qualified Health Centers (FQHCs) are places where underinsured or uninsured patients can
receive comprehensive services such as preventive health services, mental health and substance abuse
services, and transportation services at a lower cost. FQHCs offer a sliding fee scale that allows
patients to pay according to their income. FQHCs may include community health centers, migrant
health centers, and health care for the homeless; some community health centers may even offer dental
services free of charge. For your convenience, the Health Resources and Services Administration has
a FQHC locator: https://findahealthcenter.hrsa.gov/.
There are over a hundred low-cost dental clinics including FQHCs located in the five boroughs of
New York City. All clinics provide general dentistry, including routine and preventive procedures
(such as exams and cleanings), and some even provide specialty services (such as cosmetic surgery,
oral surgery, and prosthodontics). Each clinic varies in the insurance plan they accept, but all clinics
offer a reduced fee or sliding fee scale for individuals with financial need. To learn more about the
insurances accepted and associated fees, refer to the Appendix for additional details by borough. The
New York City Department of Health and Mental Hygiene (DOHMH) also lists low-cost dental
providers by borough, and have designated which providers serve the elderly and patients with special
needs.
xxxix
NYC Department for the Aging, Planning Division, Program Development
7 | P a g e
Academic Dental Clinics
xl
Many dental schools and dental hygiene schools offer low-cost care from their respective students;
students are supervised by faculty while providing care to patients. Clinics must be licensed under
Article 28 of the New York Public Health Law. More information about these schools can be found
through the American Dental Association
xli
and American Dental Hygienists’ Association websites.
Table 3. Academic Dental Clinics in New York City
Name
Address
Phone
Number
Insurance Accepted
Dental Services Covered
NYU College of
Dentistry
xlii
345 East 24th St,
New York, NY
10010
212.998.9800
Accepts government-sponsored
coverage (i.e. mainstream Medicaid,
Medicaid Managed Care, MLTC,
FIDA, PACE, HARP, Medicare
Advantage) offered through
Dentaquest, Healthplex, Liberty
Dental, or United Healthcare. Also
accepts private dental plans through
Cigna, MetLife PPO, or Guardian
PPO plans.
Patients without Medicaid must pay an
initial fee of $120 during registration;
payment plans are available.
Provides comprehensive patient
care (including general dental
hygiene, oral surgery,
extraction, implants, root canal
and periodontics/gum disease).
Most patients seeking
emergency services/urgent care
will be charged $75 fee, and
could possibly be referred to
their affiliate Bellevue Hospital.
Columbia
University
College of
Dental
Medicine
xliii
622 West 168th
St, New York,
NY 10032
212.305.6100
Accepts Mainstream Medicaid and
most Medicaid Managed Care plans.
Also accepts AIDS Drug Assistance
Program, Health First, and Family
Health Plus. While other insurances are
not accepted, the clinic will provide
patients with a standard dental claim
form so patients can be directly
reimbursed by their insurance carrier.
No sliding fee schedule or free care is
provided.
Offers comprehensive oral
health care for adults, including
x-rays and cleaning, and a full
range of specialty care (such as
root canals, gum disease
treatment, and facial pain relief).
Also offers services at their
Implant Center (including teeth
replacements and implants).
NYC College of
Technology
Dental Hygiene
Clinic
xliv
300 Jay Street,
2nd floor,
Brooklyn, NY
11201
718.260.5074
Many dental services (not specified) are
free for seniors 65 years and older, and
a small fee is required for certain
services and products. There is also a
nominal fee to the general public for all
services and products.
Offers preventive and
maintenance oral health services
(including screenings for oral
cancer, gum disease, and
cavities).
III. Additional Resources
Clinical Trials
xlv
Advancing medical knowledge requires research and clinical trials for researchers to test hypotheses
involving new drugs, new medical procedures, or improving existing treatment protocols. Clinical
trials can be publicly-funded by the government, privately-funded by pharmaceutical companies, or
receive funds from multiple sources. Some trials may need volunteers to perform certain dental
procedures such as extractions or implants. Not every volunteer will be accepted, as it often depends
on the trial’s inclusion criteria or information researchers are seeking. In many cases, the dental
procedures will be free of charge but the volunteer will be required to make a follow-up visit to provide
information. Clinical trials are often listed on government websites.
xlvi
Executive Summary: Dental Coverage Options for Older New Yorkers, 2018
Type
Name
Description
Dental Services Covered
Insurance Options
Government
-sponsored Plans
Traditional Medicare
Federal health insurance program for adults aged 65 and older
covering hospital/inpatient and doctor/medical services.
Limited to what is needed for hospitalization and when it is needed to
treat a medical (non-dental) condition.
Medicare Advantage
Also known as Medicare Part C, Medicare-covered services are
coordinated by a private health insurance plan. Currently 44 plans
are offered in NYC.
Varies with plan, but may include oral exams, cleaning, prevention, x-
rays and other screenings. More comprehensive services may also be
covered for a higher monthly premium.
Mainstream Medicaid
NY State’s Medicaid program, a federal-state health insurance
program for the poor, elderly, and disabled. No premiums or co-
pays are required.
Covers limited coverage of essential preventive, routine, and
emergency dental care. Most services require documentation to prove
medical necessity. Some services have limits on the number of times
per year received.
Medicaid Managed Care
Medicaid-covered services are coordinated by a private health
insurance plan; which may subcontract with another dental
insurance vendor (i.e. Healthplex or Dentaquest). Currently 11
plans are offered in NYC.
Includes all Medicaid-covered dental services. Some services may
require prior approval.
Managed Long Term Care
(MLTC) - Partial
Capitation
Offers Medicaid-covered long term care and certain medical
services (including dental) for chronically ill/disabled individuals.
Those services not covered by the MLTC plan are paid for directly
by mainstream Medicaid. Currently 20 plans are offered in NYC.
Covers preventive, prophylactic, and other dental care such as
cleaning, routine exams, and fillings. Some plans require prior
authorization from the dental network provider for certain services.
Medicaid Advantage Plus
Combines Medicare Advantage benefits with Medicaid MLTC
benefits under the same insurance plan. Currently 8 plans are
offered in NYC.
Covers preventive, prophylactic, and other dental care (i.e. cleaning,
routine exams, and fillings). Some plans require prior authorization
from the dental network provider for certain services. The number of
times a member can receive a certain service depends on the plan.
Programs of All-Inclusive
Care for the Elderly
(PACE)
Covers both Medicare and Medicaid services under one plan.
Recipients must live in the service area of a PACE center, need a
nursing home-level of care (as certified by New York State), and
be able to live safely in the community. Currently 2 PACE
programs are offered in NYC.
A care team who determines an individualized care plan and dental
services deemed necessary will be covered at the adult day care center
and academic dental clinics.
Fully Integrated Duals
Advantage (FIDA)
Offers full Medicare and Medicaid coverage, long term care
services and supports, Part D and Medicaid drugs, and additional
benefits under a single, integrated managed care plan. Currently 10
health plans offer FIDA in NYC.
Includes diagnostic, restorative, endodontics, periodontics,
extractions, oral surgery, and other necessary dental care. Some
services (i.e. oral exams) need prior authorization. Services are
provided at the adult day care center, by the dental network, or at
academic dental clinics.
Private
Plans
Private Insurance
Individuals can purchase dental insurance along with their health
insurance under the same plan or purchase it separately. Currently
8 stand-alone dental plans were offered through the state’s health
marketplace (New York State of Health); many private insurance
plans contract with other health insurance plans/vendors to
coordinate and administer dental benefits.
Most stand-alone insurance plans do not cover services for pre-
existing conditions or replacement teeth prior to purchasing coverage.
Once the annual deductible has been met, most plans cover 100% of
the cost of preventive care (i.e. cleanings and x-rays), 80% of basic
treatments (i.e. fillings), and 50% of more complex procedures (i.e.
root canals and crowns).
NYC Department for the Aging, Planning Division, Program Development 9 | P a g e
Free to Low-Cost Service Providers
Free or Low
-Cost Dental Care
Dental Savings Plans
Members pay a monthly or annual fee to receive care from dentists
within the network for a discounted rate, ranging from 10-60%
less than usual prices, depending on the plan. Individuals can sign
up to be members on their own or if their private health insurance
plan (e.g., Aetna or Cigna) offers its own dental discount plan
directly. These discount programs are not insurance (there are no
annual limits or spending caps), and patients are required to pay
the discounted rate at the time of service, dependent on the
location and the plan coverage.
Rates for covered services depends on each discounted program, but
all plans cover services to treat pre-existing oral health problems.
Dental Lifeline Network
1
Patients are referred for free to volunteer dentists who determine
the treatment plan. To be eligible, individuals must be 65 years or
older, have a permanent disability, or qualify as medically fragile.
While there is no income limit to receive help, applicants must lack
adequate income to pay for dental care; each application will be
individually reviewed for financial need. Currently, there is a long
wait list, so applications will only be accepted depending on the
individual’s county.
Provides comprehensive dental treatment. Emergency services are not
provided.
Federally Qualified Health
Centers (FQHCs) and
Dental Clinics
2
FQHCs or community health centers may offer dental services
free of charge or through a sliding fee scale that allows patients to
pay according to their income. There are more than 100 low-cost
dental clinics and FQHCs located in NYC. Each clinic varies in
the insurance plan they accept, but all clinics offer a reduced fee or
sliding fee scale for individuals with financial need.
All clinics provide general dentistry, including routine and preventive
procedures (such as exams and cleanings), and some even provide
specialty services (such as cosmetic surgery, oral surgery, and
prosthodontics).
Academic Dental Clinics
Depending on the clinic, free to low-cost care is provided by
students who are supervised by faculty while providing care to
patients. Most educational clinics offer services at fees which are
lower than the cost of comparable procedures at most private
practices. Most accept government-sponsored coverage and a
limited number of private insurances as well. Clinics must be
licensed under Article 28 of the New York Public Health Law.
Most clinics offer comprehensive preventive and maintenance oral
health services, including screenings and cleanings. Some offer
surgeries, extractions, and implant services as well. Emergency care is
usually referred elsewhere.
1
Applications can be found on the website (https://dentallifeline.org/new-york/) or by calling the following toll free number: 888.235.5826.
2
The New York City Department of Health and Mental Hygiene (DOHMH) lists low-cost dental providers by borough, and have designated which providers serve the elderly and
patients with special needs: https://www1.nyc.gov/site/doh/health/health-topics/oral-health-find-a-low-cost-dental-provider.page.
i
https://oralhealthamerica.org/wp-content/uploads/AStateOfDecay2018_OHA.pdf
ii
https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/MCRAdvPartDEnrolData/Monthly-
Enrollment-by-State.html
iii
https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/bp102c15.pdf
iv
https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/MCRAdvPartDEnrolData/Monthly-
Enrollment-by-State.html
v
https://www.medicare.gov/what-medicare-covers/medicare-health-plans/medicare-advantage-plans-cover-all-medicare-
services.html
vi
https://www.cms.gov/newsroom/fact-sheets/2019-medicare-advantage-and-part-d-rate-announcement-and-call-letter
vii
https://www.nahc.org/wp-content/uploads/2018/05/HPMS-Memo-Primarily-Health-Related-4-27-18.pdf
viii
https://www.health.ny.gov/health_care/medicaid/
ix
More specific details regarding coverage and exclusions can be found in the New York State Medicaid Dental Policy and
Procedure Codes Manual: https://www.emedny.org/ProviderManuals/dental/index.aspx.
x
http://www.wnylc.com/health/entry/210/
xi
https://data.medicaid.gov/Enrollment/State-Medicaid-and-CHIP-Applications-Eligibility-D/n5ce-jxme/data
xii
https://govt.westlaw.com/nycrr/Document/I50d151c3cd1711dda432a117e6e0f345?viewType=FullText&originationContext=doc
umenttoc&transitionType=CategoryPageItem&contextData=(sc.Default)&bhcp=1
xiii
https://www.health.ny.gov/health_care/managed_care/
xiv
https://www.health.ny.gov/health_care/managed_care/reports/enrollment/monthly/
xv
http://www.wnylc.com/health/entry/174/
xvi
https://www.health.ny.gov/health_care/managed_care/mltc/
xvii
https://www.health.ny.gov/health_care/managed_care/mltc/coverservices.htm
xviii
https://www.health.ny.gov/health_care/managed_care/reports/enrollment/monthly/
xix
https://www.nymedicaidchoice.com/ask/do-i-qualify-managed-long-term-care
xx
For an even more detailed comparison between the different services each plan offers, refer to:
https://www.health.ny.gov/health_care/medicaid/redesign/fida/docs/plan_benefits_english.pdf.
xxi
https://www.medicare.gov/your-medicare-costs/get-help-paying-costs/pace
xxii
https://www.nymedicaidchoice.com/ask/fida-plan
xxiii
https://www.health.ny.gov/health_care/medicaid/redesign/fida_plans_by_region.htm
xxiv
https://www.health.ny.gov/health_care/medicaid/redesign/fida_plans_by_region.htm
xxv
https://www.health.ny.gov/press/releases/2017/2017-11-01_nysoh_start_of_open_renewal.htm
xxvi
https://info.nystateofhealth.ny.gov/news/press-release-ny-state-health-announces-2018-insurance-options
xxvii
https://nystateofhealth.ny.gov/agent/hx_brokerSearch
xxviii
https://www.health.ny.gov/diseases/aids/general/resources/index.htm
xxix
https://www.health.ny.gov/diseases/aids/general/resources/adap/manuals/docs/primary_care.pdf
xxx
https://www.hivguidelines.org/prep-for-prevention/prep-to-prevent-hiv/#tab_0
xxxi
Dental providers who accept ADAP Plus can be assessed:
https://www.health.ny.gov/diseases/aids/general/resources/dental_resource_directory/adap_plus_providers.htm
xxxii
Ryan White-funded dental clinics:
https://www.health.ny.gov/diseases/aids/general/resources/dental_resource_directory/ryan_white_funded.htm.
xxxiii
https://www.vitalsavings.com/questions.aspx
xxxiv
https://www.dentalplans.com/affordable-care-act
xxxv
https://dentallifeline.org/new-york/
xxxvi
https://www.fqhc.org/what-is-an-fqhc/
xxxvii
https://www.cms.gov/Center/Provider-Type/Federally-Qualified-Health-Centers-FQHC-Center.html
xxxviii
https://www.hrsa.gov/opa/eligibility-and-registration/health-centers/fqhc/index.html
xxxix
https://www1.nyc.gov/site/doh/health/health-topics/oral-health-find-a-low-cost-dental-provider.page
xl
https://nysadc.org/
xli
https://www.ada.org/en/education-careers/dental-schools-and-programs
xlii
http://dental.nyu.edu/patientcare/insurance-medicaid-information.html
xliii
https://www.dental.columbia.edu/patient-care/teaching-clinics/patient-resources
xliv
www.citytech.cuny.edu/dental/clinic.aspx
xlv
https://www.nih.gov/health-information/nih-clinical-research-trials-you/basics
xlvi
NIH Clinical Research Studies: https://clinicalstudies.info.nih.gov; ClinicalTrials.gov: https://www.clinicaltrials.gov.